Contact Us

If for any reason you have a question, comment or concern regarding Eye Boutique please feel free to Contact us:

Eye Boutique
16800 W. Cleveland Ave.
New Berlin, WI 53151
email us here
or call 262-432-2005

1. Which Eye Boutique Location did you visit?	Schaumburg Joliet Algonquin Naperville Crystal Lake Geneva
Date of Visit:
2. Why did you choose the Eye Boutique? (select all that apply)	Referred by health professional Referred by Friend Saw clinic from the road Yellow Pages Advertising Insurance Website
3. How easy did we make it for you to schedule a convenient appointment?	Exceptional Good Average Below Average
Please tell us why: (optional -- greatly appreciated)
4. How would you rate your experience with our Eye Doctor?	Exceptional Good Average Below Average
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5. How would you rate your experience with our optician?	Exceptional Good Average Below Average
Optician's Name: (optional)
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6. If you were trying to access insurance benefits, were we helpful?	Exceptional Good Average Below Average
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7. How would you rate your overall experience at the Eye Boutique?	Exceptional Good Average Below Average
8. Would you recommend the Eye Boutique to your family & friends?	Yes No
Why or Why Not?
9. Would you like to be contacted?	Yes, please contact me
Name:
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