How were you referred to our office?
Our grounds were:
Littered or unkept
Our waiting area was:
Neat and Clean
Our office hours are:
Were warm and cheerful
Were cold and unfriendly
Gave their undivided attention
When you called the practice:
My call was answered promptly
There was a long wait for someone to answer
I had trouble getting through
I was placed on hold too long
Your phone conversation was:
Your technician today:
Greeted me warmly
Was gentle with my pet
Was a poor communicator
Did not interact with a technician
Please tell us which technician helped you, and any additional comments you may have:
Your veterinarian today:
Introduced him/herself with a warm greeting
Listened well to my pet's present symptoms
Did not seem interested in what I had to say
Seemed in a hurry
Described the diagnosis and treatment well
Left me confused about how to treat my pet
Your veterinarian was:
Professional in manner and appearance
Acceptable in manner and appearance
Inferior in manner and appearance
Good at comforting me and my pet
Able to make me feel comfortable
Insensitive in his/her use of people skills
Please tell us which veterinarian saw your pet, and any additional comments you may have:
Was your waiting time reasonable?
Were you informed and updated of any delays?
Did you understand our fees?
Do you feel the fees were reasonable?
If you checked no to any of the above, please explain:
Why did you choose this hospital?
Have you recommended us to others?
If yes, why? If no, why?
What suggestions would you have for improving the hospital, staff, or our procedures?
YOUR FIRST & LAST NAME:
YOUR PET'S NAME:
THANK YOU FOR YOUR TIME
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