Form

Thank you for the opportunity to serve you and your pet. To help us better meet your needs, please complete this survey.

1.

When I made my Appointment, my call was answered promptly.

2.

When I arrived for my appointment, the receptionist was friendly and helpful.

3.

The waiting room was comfortable and clean.

4.

My wait before seeing the veterinarian seemed reasonable.

5.

The veterinary technician was helpful and careful with my pet..

6.

The Veterinary was courteous and genuinely concerned with my pet’s health.

7.

The Veterinarian explained my pet’s problem clearly and completely.

8.

I feel my pet is getting high-quality veterinary care at your hospital.

9.

Staff members have a thorough knowledge of the products and procedures.

10.

I feel the fees for your medical services are reasonable.

11.

After a hospital stay or boarding, my pet was returned to me clean.

12.

The payment policy was clearly communicated to me.

13.

The receptionist explained the services and charges before presenting the bill.

14.

I would recommend your veterinary hospital to my friends and neighbors.

15.

I was satisfied with the treatment my pet received.

16.

Did a staff member or doctor talk with you about:

Appropriate Vaccines for Your Pet?

		Yes
		No

Heartworm prevention and testing?

		Yes
		No

Pet Dental Health Care?

		Yes
		No

Early/Senior Wellness Pet Care?

		Yes
		No

17.

What can we do to improve our services to you and your pet?

18.

Please tell us your positive experience with us. We will appreciate your comment.

Your Name

Pets Name

Date

Date of Visit