Thank you for giving us the opportunity to serve you. Please help us better meet your needs by taking a moment to complete this survey.

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* 1. Client ID (optional)

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* 2. Date of your visit

Date of your visit

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* 3. Which veterinarian did you see during your visit?

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* 4. Was this your first visit?

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* 5. Please evaluate our Client Services Team
(1=Poor Service, 5=Outstanding Service)

  1 2 3 4 5 N/A
Friendly and Courteous
Telephone Call Answered Promptly
Check In/Check Out Prompt and Thorough

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* 6. Please evaluate our Veterinary Technical Team
(1=Poor Service, 5=Outstanding Service)

  1 2 3 4 5 N/A
Helpful and Careful with Your Pet
Knowledgeable of Products and Procedures
Professional in Manner and Appearance

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* 7. Please evaluate your Veterinarian
(1=Poor Service, 5=Outstanding Service)

  1 2 3 4 5 N/A
Overall Satisfaction of Visit
Explanation of Medical Information
Care and Concern for Your Pet
Promptness of Examination/Visit
Explanation of Fees and Treatment

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* 8. Please evaluate our facility
(1=Poor, 5=Outstanding)

  1 2 3 4 5 N/A
Easy Access to Parking/Hospital
Interior Clean and Neat

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* 9. Are there any additional comments about your recent visit?

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* 10. Are there any team members you would like to acknowledge?

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* 11. Would you like us to post a review for you?  Please complete the following:

Please rate BVH on a scale from 1-5
(1=Poor, 5+Outstanding)

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* 12. Please write any comments you would like to go along with your review.

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* 13. To allow us to post your review, please give us your name and your email address.

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