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* 1. How were you referred to our office?

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* 2. Our lobby and exam rooms were:

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* 3. When you called our office, your call was answered:

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* 4. Your phone conversation was:

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* 5. Our reception staff was

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* 6. The vet assistant (nurse) who helped you today:

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* 7. The Veterinarian who helped you today:

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* 8. Was your wait time reasonable today? 

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* 9. Would you recommend us to others?  Why or why not?  Is there a staff member who went above and beyond that you would like to mention?

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* 10. So that we may look up your account, please provide your first and last name, as well as phone number.  Please also let us know if you would like us to contact you about your experience.  

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