Vets First Choice Study Data Form Vets First Choice Study Worksheet Thanks for participating in this important study. We've designed this table to assist you with collecting information. In cases where there were significant changes in revenue or expenses due to some unusual factor ( you hired a new associate, lost an associate, large capital improvement, etc.) please explain in the spaces provided in the middle of the form. If you have any questions or difficulty, please phone Bash Halow at 917 825 1630 or email bash@halowtassava.com. Thank you again! Name First Last Veterinary Practice NameBest number to reach you at?Best email to use Month and Year that you started Vets First Choice*Will the data that you provide INCLUDE revenue and expenses from Vets First Choice? Please answer yes or no (it's fine if it doesn't include data from Vets First Choice; we merely have to understand what you are providing us)Gross Revenue201220132014YTD 2015 up to June 30th Cost of Goods Sold201220132014YTD 2015 up to June 30th % Net Profit201220132014YTD 2015 up to June 30th Gross Pharmacy Revenue201220132014YTD 2015 up to June 30th % Services to Gross Sales (or dollar value of service revenue)201220132014YTD 2015 up to June 30th Gross Revenue Notes: Use this space to describe any changes to standard operating procedures that may have affected gross revenue (change in associate doctors, change in hours of operation, etc)Cost of Goods Sold Notes: Any changes in suppliers, large purchases of flea/tick products, etc. that would describe any large variance in numbers?% Net Profit Notes: For YTD 2015 indicate if your expenses show the full value of any bulk purchases. Include any other information that would explain dramatic changes in net profitGross Pharmacy Revenue Notes: Take information directly from your software or your Profit and Loss. If your VFC revenue is not included in your P&L we'll adjust that on this end. Make other notes that describe any dramatic change in Pharmacy RevenueI believe that Vets First Choice has made a positive impact on our ability to retain the sale of productsStrongly AgreeAgreeUnsureDisagreeStrongly DisagreeThis question doesn't apply to usOur clients report that using Vets First choice is a positive experience.Strongly AgreeAgreeUnsureDisagreeStrongly DisagreeThis question doesn't apply to usOur team members report that using Vets First Choice is a positive experience.Strongly AgreeAgreeUnsureDisagreeStrongly DisagreeThis question doesn't apply to usI believe Vets First Choice was a smart management decision for our practiceStrongly AgreeAgreeUnsureDisagreeStrongly DisagreeThis question doesn't apply to usWe'll have to follow up with you on this data that you provided. What are the best times/days to reach you? Number we should phone?