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Please score your clinic based on the heading below In all categories 1=Poor and 5=Very Good
(If ratings are not applicable please leave score section blank.)

• Customer Service
• 12345

• Surgeon
• 12345

• Technology
• 12345

• Value for Money
• 12345

• Price Paid for Surgery(both eyes)
• £

• Treatment Type
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  (Eg: Wavefront, Zyoptix, IntraLasik, Lasek, PRK )

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