Your Name: (only required if you would like to be
eligible to win the prize)
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Your Email Address: (required only if you would
like to receive our quarterly newsletter [4 a year, nothing more] in
your email inbox)
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What is your zip code?
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We have recently upgraded our facilities. Which
of the following did you notice was fixed/replaced? (If you didn't
notice any, don't check any!)
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Landscaping Parking Lot
Roof
Sign Interior
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What would you improve about our facility? Please
be brutally honest, and don't worry about being rude-- this is the only
way we can improve.
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How does our office smell?
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Bad Fine OK Good Great
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Which do you trust more?
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Pen & Paper
Computer
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Have you ever felt rushed at our offices? If yes,
please explain your answer.
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Has our staff ever failed to meet your
expectations? If yes, please explain your answer.
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Has our staff ever gone above and beyond the
expected to provide for you, our client? If yes, please explain your
answer.
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Have you ever had trouble finding our phone
number?
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No Yes
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If you answered 'Yes' to the above question,
could you please explain why?
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How much time do you expect to spend at our
office (from your arrival to your departure) for a regular annual
visit?
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< 10 Minutes 10-15 Minutes
15-20 Minutes 20-25 Minutes
> 25 Minutes
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Have you ever looked at our Pet Care Library,
located on our website?
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Yes, and I like it.
Yes, but I won't again.
No, but I've heard of it.
No, and I haven't heard of it.
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Would you be interested in a video library which
would include titles for rent in the pet care, training and health
areas?
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Yes!
No.
Maybe- I'd need more info.
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Thinking of the outdoor areas of our office,
what would you like to have us improve if it were up to you? (which it
is!)
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Have you visited our website,
www.dickinsonmcneill.com, before today?
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Yes No
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If 'yes', what did you think of it?
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Terrible Poor OK Good Great
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If you said 'yes' above, what part of our website
did you find most interesting or helpful?
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If you own a DOG, what type of food do you feed
he/she?
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If you own a CAT, what type of food do you feed
he/she?
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Do you find our clinic is affordable?
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Yes No
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Have you cut back on spending for your pet(s)
because of the economy?
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Yes,
I am spending less than I used to.
No, I am spending the same amount as before.
No, I am spending more than before.
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Did you know that we now offer Gift Certificates?
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Yes No
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Did you know that we now accept Visa, Mastercard
& Discover cards?
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Yes No
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How many pets do you own?
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