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* 1. Date of visit:

The date to which the feedback refers:

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* 2. Please tick the following on a scale - 5 (excellent) to 1 (poor)

  5 (excellent) 4 3 2 1 (poor)
First impressions
Telephone answering service
Site facilities/parking
Service at reception
Cleanliness of hospital
Appointment efficiency
Veterinary attention / communication
Friendliness / helpfulness of staff
Overall patient care
Overall quality of service / experience

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* 3. Would you recommend us to a friend?

T