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* 1. Why did you choose Salem Veterinary Hospital?

* 2. The team member I spoke to on the phone was:

* 3. The reception area was:

* 4. The Technician(s):

* 5. The Veterinarian(s):

* 6. Please enter your Invoice Number in the space provided. in addition, to your response to the following question:
Was your wait time reasonable?

* 7. Did you feel the fees were fair?

* 8. On a scale of 1-5 with 1 being poor, how would you rate our Overall Service?

 
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* 9. Would you recommend us to others? How could we have served you better?

* 10. Generally speaking, does Salem Veterinary Hospital(check one):

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