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12/02/2026
Satisfaction Service Evaluation Number of Patient Evaluations
0
person
DateUpdate
Excellent
0%
Good
0%
Fair
0%
Poor
0%
-
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* Use the sign - for nearsightedness (myopia)
and use the sign + for farsightedness (hyperopia)
(Please provide as much information as possible for proper screening results)
Results of any teatment that works for you
Right Eye
Right Eye
Right
Right
PercenRight
Left Eye
Left Eye
Left
Left
PercenLeft
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