The purpose of the following survey is to help us determine the sentiments and opinions of JEA patients regarding their experience at our office. The results will be analyzed to help JEA determine areas of weakness, and issues of importance.

This questionnaire does not require you to supply personal identifiable information, thus all responses can be anonymous and your privacy is protected if you so wish.

As a thank you for filling out our patient survey, we will email you a JEA Optical Gift Certificate.

Please click here to give us your feedback.