* 1. Grade the cleanliness of our office.

* 2. The time you waited compared to your appointment time.

* 3. Was the veterinary assistant courteous?

* 4. Was the receptionist friendly and helpful?

* 5. Was the visit with the Veterinarian informative?

* 6. Rate your overall experience at our hospital.

* 7. If there was one thing that you would offer us to change, what would it be?

* 8. How did you learn of our practice?

* 9. Additional Comments.

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