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Let Us Know How We Did!
How long have you been bringing your pet to our hospital?
First Time
1 - 5 years
6 - 10 years
10+ Years
When Scheduling an appointment, I : ( check all that apply )
Encounter a busy signal
Get put on hold
Get an appointment that fits my schedule
Was sent to voicemail
Was Contacted to confirm my appointment
Other
The front desk staff: (check all that apply)
Greets me and my pet by name
Are knowledgeable about hospital services and policies and are able to answer my questions
Friendly and Courteous
The veterinary technicians are: (mark all that apply)
Friendly and courteous
Knowledgeable and able to answer my questions
Kind and careful with my pet
When treatment options and recommendations are made, did you (check one):
Receive a written estimate and explanation of costs?
Receive an oral estimate and explanation of costs?
Did not receive an estimate or explanation?
Can't remember.
The veterinarian: (mark all that apply)
Was the veterinarian of your choice?
Was compassionate and courteous.
The veterinarian's examination was thorough?
Included you in the health care decisions?
Listened to my concerns and questions?
Explained problems and treatments clearly and completely?
Spent a sufficient amount of time with me discussing my pet's condition?
During your visit, was a recommendation made for a treatment or specific course of action you were to follow after the visit for your pet's care?
Select One
Yes
No
Were you shown a demonstration of treatment for post-visit care?
Select One
Yes
No
Maybe
Were you given written information such as care plan, handouts, brochures, healthy pet newsletter or charts?
Select One
Yes
No
maybe
Did you receive a follow-up call for treatment after my visit?
Select One
Yes
No
Yes, In a voicemail
Do our hours of operation meet your needs?
Yes
No
Maybe
Is the location and parking convenient?
Yes
No
Were the hospital and grounds clean?
Select One
Yes
No
Did your appointment began promptly at the scheduled time?
Yes
No
Were you satisfiend with the amount of time spent in exam room before the veterinarian came in.?
Yes
No
Maybe
Were you satisfied with the way the staff handled and interacted with your pet?
Select One
Yes
No
Were you satisfied with the quality of care/services for the dollar amount spent?
Select One
Yes
No
What was your overall experience on my most recent visit?
Select One
Excellent
Great
Good
Fair
Poor
How did you first hear about us?
Have You Used our _______ Facility?
Select One
Boarding
Day Camp
Would you refer this hospital to someone else?
Select One
Yes
No
What aspects of your visit were really great?
What aspects of your visit could be improved?
If you could offer one suggestion about how to improve our service to you and your pet, what would it be?
Submit