QUESTIONNAIRE
Your name:
Your email address:
Your phone number:
How did you hear
about us?:
Television
Radio
Newspaper
Internet Search
Veterinarian
Other:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2005
2006
2007
2008
Date of visit?:
Which services are
you interested in?:
Boarding
Daycare
Bathing
Grooming
Were the staff members friendly and helpful?
Yes
No
Somewhat
Were you satisfied with the cleanliness of the facility?
Very Satisfied
Satisfied
Not Satisfied
How do we compare to other facilities like ours?
The Very Best
Above
Average
Average
Below
Average
Fair
Would you recommend us to your friends and relatives?
Yes
No
Maybe
Comments and
Suggestions:
ONLINE RESERVATION AVAILABLE
