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Client Survey

Our mission is to maintain a dedicated, caring, and knowledgeable team committed to providing exceptional client service and Veterinary Health Care. We strive toward this excellence through continuing education, technical advances, and compassionate care for all pets entrusted to us.

By completing this survey, you can help us reach and maintain this level of service by sharing your veterinary needs and expectations.

(Please Note: Your privacy is 100% assured.)

Client Name

Phone Number

Email

Contact Request

Would you like to be contacted after filling out this survey?

Yes, please contact me
No, please do not contact me

How Did You Choose Our Hospital?

A friend or relative recommended the practice
I drove by and saw your hospital sign
I saw the practice in the Yellow Pages
Found you through the Search Engines
Other

Other

Your Telephone Experience:

My call was answered promptly
It was easy to make an appointment
I was referred to the hospital website to get the necessary forms ahead of time
I was placed on hold too long
I was offered to be called back if needed
I did not phone

Your Impression of Our Receptionist (Over The Phone):

Friendly and Attentive
Courteous
Informative
Other

Receptionist Impression, Other:

Please describe.

Your Impression Of Our Receptionist (In Person):

In-Person Receptionist Impression, Other:

Please describe.

Your Impression Of Our Reception Area:

Comfortable
Neat
Other

Reception Area Impression, Other:

Please describe.

Your Impression Of Our Parking Lot/Grounds:

Clean
I found a parking spot with ease
Other

Parking Lot/Grounds Impression, Other:

Please describe.

Your Impression Of Our Hospital Website:

I visited the Pet Hospital Website
I found the website to be helpful
Other

Website Impression, Other:

Please describe.

Your Impression of Our Veterinary Technician:

Veterinary Technician Impression, Other:

Please describe.

Your Impression of Our Veterinarian:

Introduced himself/herself
Washed his/her hands before examining my pet
Listened to what I said
Other

Veterinarian Impression, Other:

Check All That Are True:

My waiting time was reasonable
I felt fees were reasonable
I understood all of the fees

Additional Comments