36C26220R0093-002.docx

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6540--VISN 22 Healthcare System and Clinics Eyeglass Procurement
Solicitation number
36C26220R0093
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This document contains a federal contract opportunity notice and related patient survey. The federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22 to procure eyeglasses for eight VA healthcare systems and clinics through a commercial items service contract under FAR Part 15. The contract is set aside for Service-Disabled Veteran Owned Small Businesses and shall be effective for a base year plus four option years, with the contractor ready to begin on October 1, 2020. Interested SDVOSBs may contact the specified individual in writing.

The related patient survey collects feedback from veterans on eyeglasses received from VA eye clinics, inquiring about timeliness, correctness, quality ratings, and overall satisfaction to identify any needed improvements to eyeglass services.

36C26220R0093 Eyeglass PATIENT SURVEY.docx

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PATIENT SURVEY

DEPARTMENT OF VETERANS AFFAIRS

PRESCRIPTION EYEGLASS SURVEY

YES NO

Did eyeglasses arrive within 10 business days of visit to the Eye Clinic?

Did you receive the correct style/color of frames?

Excellent Good Fair Poor Please rate the quality of the frames:

Overall satisfaction with your eyeglasses:

Name of Facility where eye examination was done: ________________________________________

If you have any issue with your eyeglasses, please contact the VA Eye Clinic.

Please return this survey to:

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File details come from the government source that posted it. Updated .