House Call Survey

1. House Call and Mobile Practice Survey

Please fill out if you have had a house call or mobile practice for 6 months or longer.
Your replies are individually anonymous.
After you contribute your replies, you may enter your contact information at the end, if you would like to have us send you the compiled results.
Please tell others about this survey so we may gather useful data. Thank you!
(If you are not eligible to complete the survey and are interested in the results, please email separately to carin@smithvet.com)

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* 1. Which best describes you?

I work primarily as a house call or mobile veterinarian.

I work primarily at / out of a fixed practice, which offers house or farm calls as one of its services.

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* 2. Please check the description most closely matching your vehicle.

Car: Sedan, station wagon, van, or SUV with homemade or commercially made storage

Pickup truck with some sort of storage in the bed, homemade or commercially made

Mobile veterinary unit (has inside facility for procedures)

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* 3. Your practice is best described as:

Companion animal practice

Mixed practice

Equine or large animal practice

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* 4. Please provide the following data

Days per week worked, on average

No. of clients seen on a typical work day

Hours worked per day, on average

Your service area - Radius, in miles, from your home office/base

Total number of active clients (Active = seen at least once in the past year.)

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* 5. With regard to your house call (trip) fee, do you (fill out any/all that apply; do not include your exam fee)

Charge a flat or minimum fee per visit

Charge a mileage fee

Charge a trip fee based on time

Please enter the amount you charge for each item

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* 6. With regard to your exam fee, do you

Charge a flat fee per patient

Charge a flat fee per patient, with modifications for litter/multiple pets

Charge an hourly fee

Combine a minimum/flat fee with an hourly fee

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* 7. If you have an arrangement with one or more practices to work on your patients at their facility, do you

I don't have any arrangement

Pay the practice a flat fee, per hour or day

Pay the practice a set fee based on each specific service

Pay the practice a percentage of what is charged to the client for each specific service

Enter amounts of any fixed percentage or flat fee

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* 8. Check all the procedures that you routinely perform (do not include procedures done at a practice)

Routine wellness care (e.g., vaccinations, deworming)

Examination / diagnosis (Including physical, history, taking blood/urine samples, BP checks, etc)

Behavior consultation

Euthanasia

Emergency care

Minor surgical procedures (e.g., abscess lance/clean, lump removal)

Elective routine surgical procedures (e.g., spay & neuter)

Major surgical procedures (e.g., fracture repair)

Imaging (e.g., radiography, ultrasonography)

Dental care under anesthesia

Hospice/palliative care

Rehabilitative care (includes ‘physical therapy,’ massage, etc)

Other (please specify)

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* 9. What computer software program(s) do you use?

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* 10. Which of the following people do you pay to assist you?

	Part-time	Full-time
None	None Part-time	None Full-time
Household help	Household help Part-time	Household help Full-time
Office help	Office help Part-time	Office help Full-time
Phone service	Phone service Part-time	Phone service Full-time
General assistant (performs technician & receptionist/office duties)	General assistant (performs technician & receptionist/office duties) Part-time	General assistant (performs technician & receptionist/office duties) Full-time
Technician assistant	Technician assistant Part-time	Technician assistant Full-time
Credentialed technician	Credentialed technician Part-time	Credentialed technician Full-time

Other (please specify)

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* 11. How long have you

	0-1 yr	2-5 yr	6-15 yr	>15 yr
been a veterinarian?	been a veterinarian? 0-1 yr	been a veterinarian? 2-5 yr	been a veterinarian? 6-15 yr	been a veterinarian? >15 yr
been a house call or mobile veterinarian?	been a house call or mobile veterinarian? 0-1 yr	been a house call or mobile veterinarian? 2-5 yr	been a house call or mobile veterinarian? 6-15 yr	been a house call or mobile veterinarian? >15 yr

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* 12. Please add any comments or explanations here.

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* 13. Optional: Enter your name, E-mail address, and phone number
and note:
If you would like to be notified about the results of this survey and/or
If we may contact you for additional information.
Thanks!

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* 1. Which best describes you?

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* 2. Please check the description most closely matching your vehicle.

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* 3. Your practice is best described as:

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* 4. Please provide the following data

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* 5. With regard to your house call (trip) fee, do you (fill out any/all that apply; do not include your exam fee)

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* 6. With regard to your exam fee, do you

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* 7. If you have an arrangement with one or more practices to work on your patients at their facility, do you

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* 8. Check all the procedures that you routinely perform (do not include procedures done at a practice)

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* 9. What computer software program(s) do you use?

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* 10. Which of the following people do you pay to assist you?

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* 11. How long have you

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* 12. Please add any comments or explanations here.

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* 13. Optional: Enter your name, E-mail address, and phone number and note:If you would like to be notified about the results of this survey and/orIf we may contact you for additional information.Thanks!

* 13. Optional: Enter your name, E-mail address, and phone number
and note:
If you would like to be notified about the results of this survey and/or
If we may contact you for additional information.
Thanks!