It depends on what doctor you get. I went on a Monday and had Dr. Bird (female) she was fantastic, very friendly, answered any questions. Can tell she has a passion for what she does. Dr. Kennedy (old male) was a rude, arrogant man. I am new to puppy life, and was peeved I was back in the vet on the following Saturday, because my dog had worms, which on Monday they checked for, for $35.00. I said this in a fairly steady tone, he immediately started talking over me when I voiced my concerns. And told me if I would listen he would tell me the medical reason, at that point I was not even talking. He told me I had an attitude, and made me feel an inch big. The vet tech was also just standing there, probably feeling uncomfortable. He told me "You will pay the same amount you would have paid on Monday if your dog got this shot." In a very rude tone. He also said, "we can sit here and argue but I will out-argue you." I am 23. I would have liked a chance to speak, I may be young but I am quite intelligent. After hearing the medical reason I was content with treatment. All I asked or suggested is that they clarify that tapeworm may not show up in a poop exam. I have never been humiliated at a vet, and would never expect to. I put in my chart that I refuse to see him again. I am pretty sure I will not go back to the vet once my dog is done with all of her puppy shots. If you have any concerns and questions about treatment don't expect to be heard. Read Less