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Feedback

 

Thank you for looking at our survey! The better we understand you, our clients, or, at least, potential clients, the better we can serve you and the better we can try to do great things for you, our valued clients. So, we would really appreciate it if you would take the time to tell us about yourself and your practice. All questions are optional and we promise not to sell or give your information to any other companies. We might get in touch with you to ask you more questions in the future, unless you ask us not to bother you again. If you do not want to hear from us, check the box below.

Privacy Notice: In addition to the answers that you provide in this form, we also collect some advertising and world wide web variables. This is the same information normally added to a web server's log file. We track the date and time of entry, your remote host address (TCP address), and your browser type and version. Again, this information is for our internal use only. We will not provide information obtained through this or any other form on our website to any other company.

 

Please do NOT call, write, or e-mail me.

DOCTOR AND CLINIC INFORMATION

 

Business Name:

Doctor's First Name:
Doctor's Last Name:
Street Address 1:
Street Address 2:
City:
State/Province:
Postal Code:
Country (if outside the US):
 
E-mail:
Voice Telephone Number:
Fax Telephone Number:
 
Doctor's Age:
Doctor's Gender:
Male Female
Age of the Business:

Approximate Net Income of Business:

Number of Patients:

EQUIPMENT AND SUPPLIES INFORMATION
How often do you purchase equipment? -- Choose just one.
Once a year.
Twice a year.
Three times a year.
Four times a year.
Five times a year.
Once every few months.
Rarely.
 
How often do you purchase supplies? -- Choose just one.  
Every week.
Twice a month.  
Every 6 to 8 weeks.
Four times a year.  
Five times a year.  
Once every few months.
Rarely.
 
What product(s) are next to impossible to find? -- Please list all that apply.
 
Any suggestions to enable us to serve you better?

ADVERTISEMENT INFORMATION

When was the last time you saw or heard an advertisement for Cedar Ridge Medical?
 
What do you remember about the advertisement?
 
Are there any advertising campaigns that you really like?
 
What magazines do you like to read?

WEB INFORMATION

How often do you use the Web?
 
What do you use the Web for? -- Select all that apply.
Business
Entertainment  
School  
Shopping  
Personal Finance  
Chat/Social  
Other
 
Have you ever purchased anything through the Web?
Yes No
 
What are your three favorite Web sites?
1.  
2.  
3.
 
Do you have a presence on the web or a home page? If so, please list it below. (We may decide to build a page with links to various vet clinics.)