• 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)

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How satisfied were you with each of the following?

Phone was answered promptly  Great Satisfactory No-so-good Terrible
Person who answered phone was helpful  Great Satisfactory No-so-good Terrible
Staff introduced themselves  Great Satisfactory No-so-good Terrible
Length of time you waited before seeing doctor  Great Satisfactory No-so-good Terrible
Doctor introduced self  Great Satisfactory No-so-good Terrible
Doctor listened and responded to your concerns  Great Satisfactory No-so-good Terrible
Questions answered to your satisfaction  Great Satisfactory No-so-good Terrible
Treated with courtesy and respect  Great Satisfactory No-so-good Terrible
Overall satisfaction with our service  Great Satisfactory No-so-good Terrible

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 Medicine Orthopedic Surgery Soft Tissue Surgery Ophthalmology Physical 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.  1 2 3 4 5
The specialist provided timely communication about your patient.  1 2 3 4 5
The referral report was helpful, accurate and prompt.  1 2 3 4 5
You were satisfied with the care that your patient received.  1 2 3 4 5
You would recommend us to other veterinarians.  1 2 3 4 5

Is there additional comments or suggestions: