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Referring Veterinarian Survey

Dear Colleague,

You are a valued client of Iowa Veterinary Specialties (IVS). IVS is engaging in new activities to serve you better. We are exploring adding additional specialty services, providing special seminars free for referring veterinarians and offering free continuing education for your support staff. We need your input on these three items. Please take a few minutes to answer the attached survey. Thank you in advance for your assistance. Your input is important to us.

Name

Clinic Name

Address

City

State

Zip Code

Phone

Fax

Email Address

A. Specialty Services. Which of the following specialty services would you use if IVS offered them on a regular basis?

Service	Frequently	Commonly	Sometimes	Not likely to use
Anesthesia
Alternative Therapy
Cardiology
Critical Care
Dermatology
Emergency Medical Care
Internal Medicine
Neurology
Neurosurgery
Oncology
Oncological Surgery
Ophthalmology
Rehabilitation
Imaging Services
Soft Tissue Surgery
Orthopedic surgery

B. Essential Features of Specialty Services. Which features of specialty services are most important to you as a referring veterinarian?

Service	Frequently	Commonly	Sometimes	Not likely to use
Proximity to my practice
Proximity to my client's home
Ready access to appointment
Helpful reception staff
Cost of services
Reputation of specialist
Phone communication with specialist prior to referral
Phone communication with specialist after referral
Receiving faxed letter on case outcome
Receiving email on case outcome
Access to medical record
One-day service
Other: Specify	Other:

C. Preferred Seminar Topics. What types of seminar topics would be of most significance to you in your practice? Check those boxes that reflect your interests in the various seminar types.

Service	Frequently	Commonly	Sometimes	Not likely to use
New diagnostics
New treatments
Evidenced based medicine- what really works
Case reviews on various systems
Pathology
Infectious Diseases
Behavioral medicine
Holistic medicine
Oncology
Geriatric medicine
Rehabilitation
Other: Specify	Other:

D. CE for Support Staff. Which of the following CE topics would be of most interest to your staff and of most value to you in your practice?

Service	Frequently	Commonly	Sometimes	Not likely to use
Team Building
Performance Measures & Reward Systems
New Diagnostics
New Treatments
New Procedures
Quality Control Procedures
Client & Interpersonal Communication
Case reviews on various systems
Inventory Control
Service Enhancement
Other: Specify	Other:

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