Shelter location that you visited:
Riverside City/County Shelter on Wilderness
Coachella Valley Shelter in Thousand Palms
Blythe Shelter
Animal Friends of the Valley in Lake Elsinore
Ramona Humane Society in San Jacinto

1. Rate today's visit:

Promptness:
Outstanding
Good
Average
Fair
Poor

Courtesy:
Outstanding
Good
Average
Fair
Poor

Efficiency:
Outstanding
Good
Average
Fair
Poor

Information:
Outstanding
Good
Average
Fair
Poor

2. Reason for your visit:

Adoption
Lost Animal
Rabies Vaccination
Owner Turn In
Spay/Neuter Clinic
License
Other
:

3. If a staff member was especially helpful, please let us know so we may show our appreciation.

4. Suggestions for improvement:

5. Overall, how would you rate our service:
Outstanding
Good
Average
Fair
Poor

Today's Date:
Date & Time of your visit :

Optional Information:
Name:
Address:
City, ZIP:
(Please provide your email in case we need to explain, clarify, or reply to your concerns.)
E-mail address:
Daytime Phone:

If you have a complaint, do you want a supervisor to call you?
Yes
No

Thank you for your comments. Your opinion will make a difference!