Customer Satisfaction Survey

Thank you for giving us the opportunity to serve you. Please help us to better meet your needs by taking a moment to complete this questionnaire. Your answers will be kept confidential.
 
 

Pet's Name (required)

Your Name Name (optional)

1. Was your call answered promptly?
 Yes No

2. Was our telephone response courteous and helpful?
 Yes No

3. On the day of your appointment, were our receptionists warm and friendly?
 Yes No

4. Was our waiting room comfortable and clean?
 Yes No

5. Do our hours suit your needs?
 Yes No

..If not, how can we improve?

6. Did you wait before seeing the doctor seem brief?
 Yes No

...If not, how can we improve?

7. Was the veterinary technician helpful and careful with your pet?
 Yes No

8. Was the doctor courteous and genuinely concerned about your pet’s health?
 Yes No

9. Did the veterinarian explain your pet’s problem clearly and completely?
 Yes No

10. Did you feel that your veterinarian’s examination was thorough?
 Yes No

11. Did the veterinarian or technician answer your questions completely?
 Yes No

12. Do you feel that your pet received quality professional healthcare?
 Yes No

13. Did you find our facility clean?
 Yes No

14. If your pet was hospitalized, did the stay seem reasonable for the illness?
 Yes No Not Applicable

15. After a hospital stay, was your pet retuned to you clean?
 Yes No Not Applicable

16. Was our payment policy clearly communicated to you?
 Yes No

17. Was the billing presented in adequate detail?
 Yes No

18. Would you recommend our veterinary practice to your friends?
 Yes No

19.Have you visited our Face Book page?

Date service provided: (mm/dd/yy)

Comments that you would feel would be helpful to our practice:

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