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Welcome to your Pre-Appointment Questionnaire

 

Please complete the following questionnaire before your visit.

 

This questionnaire should take approx. 10 minutes to complete and will help us minimise the time you spend in practice, supporting the safety of you and our staff. All of your responses to the questions will be kept private and confidential.

 

If your last test was with a different optician, please bring your latest prescription with you to your appointment. Please also ensure you bring any glasses that you currently wear to your appointment.

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General Enquiries

info@haineandsmith.co.uk

01672 513686

Haine & Smith Enquiries
7-8 Salisbury Road Business Park
Salisbury Road
Pewsey
Wiltshire
SN9 5PZ

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