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  2. 2014
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  5. Dishler 2013 Post-Op
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Full Name (Optional)
   
 
 
 
Date of Surgery
 
 
 
Why did you choose Dishler Laser Institute?
   
 
 
 
Did you consider any other surgeon/center before choosing Dishler Laser Institute?
 
No
 
Yes, the other surgeon/center was:
 
 
 
 
How satisfied are you with your LASIK results?
 
Very Satisfied
 
Satisfied
 
Unsatisfied (Please contact Dr. Brownfield, our clinical director, at [email protected] to discuss the issue.)
 
 
How would you rate the staff on customer service?
Choose 1-5 stars
 
 
 
Would you recommend Dishler Laser Institute to your friends or family members?
 
Yes
 
No
 
Already Have
 
 
 
Do you have any additional comments, suggestions or testimonial for use on our website?
   
 
Dishler Laser Institute and DTC Eye Surgery Center thank you for taking the survey.
Please contact [email protected] if you have any questions regarding this survey.