Your Feedback

We at Orchard Park Veterinary Medical Center are always looking for ways to improve our products and services we offer you.  Your suggestion, ideas, and comments are always welcome.

We would appreciate it if you would take a few moments to complete our on-line survey.

Form - Your Feedback Form

Name
First Name
Last Name
Address
Street Address
City
State/Province
Zip/Postal Code
,
Phone
Phone TypePhone Number
E-Mail Address :
Client Identification #:

Date of your visit:

Doctor you saw:

For your visit today, did you have :
Service/Experience Rating
Please rate your experience on a scale of 1 - 5, with 5 being the highest, in each of the below categories.
Please rate your overall experience with OPVMC:
1
2
3
4
5

Our staff met or exceeded your expectations today:
1
2
3
4
5

Your wait time was appropriate:
1
2
3
4
5

Approximately how long did you wait?

Any service delays were explained to your satisfaction:
1
2
3
4
5

You would recommend our pratice to friends and family:
1
2
3
4
5

Comments/suggestions:

May we contact you to discuss any of your ratings or comments?
Yes
No


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"Always the 

Patient's Advocate"


Phone: 716.662.6660

Fax: 1.800.284.0306

Directions/Location:

3930 North Buffalo Road, Orchard Park, NY 14127


contact@opvmc.net