Putney Veterinary Survey Panel

Be the voice of the veterinary community: Join our survey panel

The process to sign up takes no more than ten minutes.

Online surveys are offered regularly
For each survey you complete, you will be eligible to receive an incentive
Surveys, on average, take no more than 20 minutes to complete
Take as many or as few surveys as you like
Your input is confidential and used only by Putney to evaluate products and programs

Please answer a few questions about your role in the veterinary practice. This information will help Putney direct relevant and applicable questions to you. After you submit this form, a member of the Putney team will contact you to confirm your participation.

Please fill out the required fields

* = Required Field

Your name *

Email *

Phone Number *

Clinic Name *

Clinic City, State *

Type of Veterinary Practice: *

Yearly Practice Revenue:

Role at Practice (check all that apply) * Owner
Technician
Associate Veterinarian
Relief Veterinarian
Practice Manager
Other

License # and State *
Why do we ask?

From time to time Putney may be interested to send you a product sample for evaluation and feedback; however, we can send pharmaceutical products only to licensed veterinarians. We do not use your license number for any other purpose.

Are you involved in the pharmaceutical ordering process at the practice? * Yes No

How many years have you been in the Veterinary Profession? *

Do you participate actively in consulting or industry feedback groups for any other veterinary pharmaceutical company? * Yes No

I agree to abide by the terms of Putney's Confidentiality Statement.