* 1. How did you choose our office?

* 2. The reception area is:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Comfortable
Clean and neat
Odor-free

* 3. Office hours are convenient

* 4. The Receptionist(s)

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Was accommodating
Seemed warm and cheerful

* 5. The technician(s):

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Seemed warm and cheerful
Seemed knowlegable

* 6. The veterinarian:

  Strongly Agree Agree Neutral Disagree Strongly disagree
Seemed warm and cheerful
Gave us undivided attention
Seemed knowledgeable
Answered all my questions

* 7. When I telephoned:

  Strongly Agree Agree Neutral Disagree Strongly disagree
My call was answered promptly
Making an appointment was easy

* 8. What day of the week and time of day was your visit?

  Monday Tuesday Wednesday Thursday Friday Saturday
Morning
Afternoon
Evening

* 9. Do you have any other comments, questions, or concerns?  If so and you would like to be contacted to discuss your comments, please provide name and contact information.

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