Client Survey

In a constant effort to improve our facility, procedures, and staff, we are always interested in your thoughts. We realize your time is important, buthope you will take a minute or two to complete this questionnaire.
Thank you for your time and opinion.

Appointment Time Morning
Afternoon

Parking Area Parking Adequate
Parking Inadequate

The Veterinarian Explained my pet's problem in easily understood language
Left me confused about how to treat my pet

The Veterinarian was Professional in manner and appearance
Acceptable in manner and appearance
Unprofessional in manner and appearance
Other

Was Your Pet Handled In A Manner That Pleased You? Yes-Excellent Yes-Good Could Have Been Better Definitely Not

Why Did You Choose This Veterinary Clinic?

Would You Recommend Us To Others? Yes No Maybe

Did You Consider Your Waiting Time To Be Excessive Yes No

Fees

Were the fees explained before treatment? Yes

Did you understand the fees? Yes No

Do you feel the fees were reasonable? Yes No

Email

Would you welcome email from us? Yes No

What is your email?

IF YOU WERE OUR PRACTICE MANAGER, WHAT SUGGESTIONS WOULD YOU HAVE FOR IMPROVEMENT IN THE OFFICE, STAFF OR PROCEDURES > AS WE CAN ONLY CONSIDER THINGS WHICH WE AR E AWARE OF,PLEASE BE BLUNT AND HONEST. THIS IS YOUR ANIMAL HOSPITAL TOO AND WE WELCOME WAYS TO SERVE YOU BETTER .

YOUR COMMENTS

The following questions are strictly optional.

If you had a problem(s) with your visit, the more information we have to track down the cause of your inconvenience, the better chance we have of correcting the flaw. Thank you.

Date Of Visit

Name

Home Phone Number