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Luv My Pet Survey
RequiredRequired Question(s)
Required 1.

Are you married or single?
Married
Single
Required 2.

Are you male or female?
Male
Female
Required 3.

Do you have children at home?
Yes
No
Required 4.

How many dogs live at your house? (exclude litters that will be sold or given away) (answer with numeric - 1, 2, 3, etc)
 

50 characters left.
Required 5.

How many cats live at your house? (exclude litters that will be sold or given away) (answer with numeric - 1, 2, 3, etc)
 

50 characters left.
Required 6.

Do you have a regular veterinarian? (someone that if your pet had a problem you would go to)
Yes
No
Required 7.

If you don't have a veterinarian and you had need for one, how would you locate one?
Recommendation from a friend
Yellow Pages
Vet whose office is in your neighborhood
Internet search
Other  
Required 8.

Do you have an Internet account/access?
Yes
No
Required 9.

If yes, would you like to receive your pet's vaccination reminders via email?
Yes
No
I do not have internet access/account
Required 10.

Your age range?
25 years old or younger
26-35 years old
36-45 years old
46-55 years old
56 years and older
Required 11.

What is the store name (or number) at which you had your pet(s) vaccinated?
 

350 characters left.
Required 12.

Approximately how many times have you been to this pet store in the last 3 months?
1 to 3 times
4 to 7 times
greater than 7 times
Required 13.

Approximately how many miles do you live from this store?
Less than 1 mile
1 to 2 miles
3 to 5 miles
more than 5 miles
Required 14.

How did you originally hear about this clinic?
Flyer from the store
You saw a sign in the window
Friend/relative told you about the clinic
Newspaper ad
Internet/website
Really don't remember
Other  
15.

Why did you originally decide to come to this clinic?
Price comparison
Clinic time/location
Other  
Required 16.

If we offered low cost spay/neuter services, would you be (or have been) interested?
Yes
No
Required 17.

Has the pet you're bringing in today been vaccinated by anyone other than at this clinic?
Yes
No
Required 18.

If yes, where did you vaccinate your pet in the past?
Vet hospital or clinic
Another pet store
City, county park or facility
n/a - only with your/LuvMyPet clinics
Required 19.

Your approximate family income?
Less than $30,000
Between $30,000 and $50,000
Between $50,000 and $75,000
More than $75,000
20.

Are there any other products or services you would like us to provide?
 

1000 characters left.
21.

Any general comments you would like to make?
 

1000 characters left.
Required 22.

Does your pet currently take any medications on a regular basis?
Yes
No
Required 23.

Do you currently purchase Premium pet food for your pet? (i.e. Eukenuba, Iams, etc)
Yes
No
Required 24.

Please rate the following areas of service we provided you today from 1 to 5.
 1 (not very good) 2 3 (average) 4 5 (very good) 
Price of vaccinations
Price of heartworm tests and medications
The veterinarian
Price of flea products
Knowledge of staff
Appearance of staff
Amount of time you had to spend waiting in line
Would you come back to this clinic next year for boosters
  • Comment:

  • 500 characters left.
25.

Please enter the information indicated below for a chance to win a $50 PETCO gift card in our weekly drawings!

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com