Brook Farm Veterinary Center
Caring For Your Pets As If They Were Our Own
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Phone Survey
*Date of Call:
*Receptionist's Name:
-Select a choice-
Evan (Male)
Kim (Female)
Linda (Female)
Judy (Female)
Kathy (Female)
I Don't Remember
*How kind was he/she?
Very kind
Kind
Satisfactory
Unsatisfactory
*How long were you on hold, if at all?
0-3 Minutes
3- 6 Minutes
6-12 Minutes
*How clear was he/she?
Very clear
Satisfactory
Unclear
*Were all of your questions answered?
Yes
No
Is there anything else you would to tell us?
If desired, please print this page for your records before submitting.
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