CLIENT SURVEY
How were you referred to our office?
Our grounds were:
Our waiting area was:
Our office hours are:
Our receptionist(s):
When you called the practice:
Your phone conversation was:
Your technician today:
Please tell us which technician helped you, and any additional comments you may have:
Your answer
Your veterinarian today:
Your veterinarian was:
Please tell us which veterinarian saw your pet, and any additional comments you may have:
Your answer
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:
Your answer
Why did you choose this hospital?
Your answer
Have you recommended us to others?
If yes, why? If no, why?
Your answer
What suggestions would you have for improving the hospital, staff, or our procedures?
Your answer
YOUR FIRST & LAST NAME: *
Your answer
YOUR PET'S NAME: *
Your answer
THANK YOU FOR YOUR TIME
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