Post-Visit Survey

We are always looking for ways to improve the quality of our services. To do that, we need to know what you think. Kindly take just a few minutes to visit our survey site.

Please note this will open a new window, in a separate site. To come back to SJEA, please simply close that new window.

Please be assured that, unless you chose to identify yourself, your answers will remain anonymous, and that we do not require any personal identification information from you.

To begin, you will need to enter the 5-digit Office Code - TN40O (note that is upper case T, upper case N, the number 4, the number 0 and uppercase O) and press "submit."

At the end of the survey, as a token of our appreciation, if you choose to fill out the confidential information (Name, Address, City State, Zip and Email) you will be automatically entered in a swepstakes to win a $50 gift check.*

*Winners will be drawn at random. Official sweepstakes rules are available on request, or by visiting www.PatientEyeCare.com. For the names of prize winners or for the official rules, send a self-addressed, stamped envelope by December 31, 2006 to: Patient Eye Care Sweepstakes Rules/Winners List (specify which), PO Box 72741, Greenfield MN 55572