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Please choose a location
Annapolis, MD - Bestgate Road
Annapolis, MD - Defense Hwy
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For filling out and returning this form, you will be entered into a monthly drawing for a $25 gift card, as your comments and options are valuable to us meeting our customer service standards.
Who greeted you when you arrived at Eye Care for Animals?
Staff member, not sure of role
Which of the following best describes the staff member who greeted you? (check all that apply)
How would you rate the quality of care your pet received from the nurse/technician?
How would you rate the quality of care your pet received from the ophthalmologist?
Which of the following best describes the nurse/technician? (check all that apply)
How long did you wait before you were seen by an ophthalmologist?
I was seen very quickly
I waited a resonable amount of time
I waited too long
How would you rate the quality of care your pet received at our facility?
Were you given instructions for further care of your pet's problem?
Were the instructions explained to you clearly?
How would you rate the appearance of the Eye Care for Animals facility?
How would you rate the appearance of the staff at Eye Care for Animals?
If your pet should require specialty medical care in the future would you return to Eye Care for Animals?
How did you hear about the ophthalmologist you came to see today?
From your referring veterinarian
From a friend or relative
If you were referred by your primary care veterinarian, do you feel the referral was made in a timely fashion?
No, I feel I was referred too soon
No, I feel I could have been referred sooner
What is the best way of informing you about ophthalmology speciality services?
Through my primary care veterinarian
Were you aware that a referral from a primary care veterinarian was not needed before seeing an ophthalmologist?
If one of your team members provided exceptional customer service and you want to recognize that individual, please provide us their name, as we would like to congratulate them on a job well done!
Please provide any additional comments or suggestions:
May we use your comments on our website. Your last name will not be published.
Do Not Fill This Out