• Oregon Veterinary Referral Associates

    Special Care for your best friend

We want your feedback

We continually strive to improve our service and would appreciate your candid feedback. Please share any comments you have about your experience at Oregon Veterinary Referral Associates. We truly value your opinion. Thanks!

Name (optional)

Email (required if a response is desired)

How satisfied were you with each of the following?

Phone was answered promptly GreatSatisfactoryNo-so-goodTerrible
Person who answered phone was helpful GreatSatisfactoryNo-so-goodTerrible
Staff introduced themselves GreatSatisfactoryNo-so-goodTerrible
Length of time you waited before seeing doctor GreatSatisfactoryNo-so-goodTerrible
Doctor introduced self GreatSatisfactoryNo-so-goodTerrible
Doctor listened and responded to your concerns GreatSatisfactoryNo-so-goodTerrible
Questions answered to your satisfaction GreatSatisfactoryNo-so-goodTerrible
Treated with courtesy and respect GreatSatisfactoryNo-so-goodTerrible
Overall satisfaction with our service GreatSatisfactoryNo-so-goodTerrible

Is there anything you would like us to know about your experience here? Please share both the good and the bad.

We like to recognize people who provide great service. If you were impressed with anyone, please share that information here.

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Your patient referral was for:
Internal MedicineOrthopedic SurgerySoft Tissue SurgeryOphthalmologyPhysical Therapy

Please check the number that most closely represents your experience.

Strongly Agree
1
Mildly Agree
2
Neither Agree nor Disagree
3
Mildly Disagree
4
Stongly Disagree
5
The process for referring patients was quick, easy and efficient. 12345
The specialist provided timely communication about your patient. 12345
The referral report was helpful, accurate and prompt. 12345
You were satisfied with the care that your patient received. 12345
You would recommend us to other veterinarians. 12345

Is there additional comments or suggestions: