Reminder Survey
Required Required Question(s)
Required 1.

What picture was on the front of your reminder card?
Cartoon: "...stop calling me Vanna"
A photo with my name embedded in it.
Required 2.

Did you or are you likely to book an eye appointment because of this reminder?
Yes
No
Required 3.

How would you prefer to be reminded of your 1 year or 2 year annual eye appointments?
postcard
phone call
email
Other  
Required 4.

How does your dentist remind you of your next appointment?
postcard
phone call
email
Other  
Required 5.

How does your doctor remind you of your next physical?
postcard
phonecall
email
Other  
6.

If you would like to be entered in our draw for a Starbucks gift card, please enter your email below.
Email Address:
emailaddress@xyz.com

7.

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