Exit Dog Adoption Survey 1. Default Section Question Title * 1. Adopter Name Question Title * 2. Dog's Name Now Question Title * 3. Dog's Name at HSHA Question Title * 4. Overall, how well do you think your dog is fitting into your home? Question Title * 5. Would you like to be contacted by HSHA's Behavior Team, who can provide techniques and support that might help improve your dog's behavior? Yes No If yes, please describe the behavioral issue: Question Title * 6. Has there been any concerns regarding the health of your dog since bringing him/her home? Question Title * 7. Would you like to be contacted by a member of HSHA's Medical Team to discuss any concerns? Yes No If yes, please describe medical issue: Question Title * 8. Did you feel welcome during your visit? Yes No Comments Question Title * 9. Overall, how satisfied are you with the customer service you received from HSHA staff? Poor Below Average Average Above Average Excellent Poor Below Average Average Above Average Excellent Question Title * 10. Any additional positive or negative comments you can share to assist us in providing better customer service? Question Title * 11. Caller comments? Done
