How are we doing?

Please fill out the following questionnaire to let us know how we're doing.
If you have any questions or comments, please don't hesitate to contact us.

How did you learn of our practice?
Friend (friend's name) 
Phone Book
Search Engine
Other (please specify) 


The office staff was courteous and helpful.
Yes
No
Not Applicable


The attending veterinarian arrived within 30 minutes of the scheduled appointment.
Yes
No
Not Applicable


If the veterinarian did not arrive within 30 minutes, were you notified prior to your appointment time that he would be late?
Yes
No
Not Applicable


The attending veterinarian was friendly and professional.
Yes
No


The attending veterinarian performed a thorough examination on my horse.
Yes
No
Not Applicable


The attending veterinarian explained my horse's diagnosis and informed me of the treatment options.
Yes
No
Not Applicable


How would you rate the care your horse received?
Excellent
Good
Poor
Very Poor


The prices of the services and products were reasonable.
Yes
No


Would you recommend Crum Equine Veterinary Service to a friend?
Yes
No


What do you like most about our service?


What area of our service should we improve?


Any other comments?


Would you like someone from our office to contact you?
Yes (Please be sure to give us your contact information below.)
No Thank You


May we please have your name and contact information?
Name:
 
Email Address:
Daytime Phone:
Cell Phone:
Street Address:
  
City:
State:
Zip:























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 Tel.: 740-653-6000 / Fax: 740-653-6051 / Web Site Design by Fortris123