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Digital Client Forms
Event Booking System
Team Portal
E-commerce
Portfolio
Contact

Client Survey

Please Note: Your privacy is 100% assured.

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Enter your email to receive a sample of this survey*

Rate your overall experience at our hospital

ExcellentPretty goodNeutralNot so greatTerrible

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

Please Explain

Your Telephone Experience

My call was answered promptly

Yes

No

It was easy to make an appointment

Yes

No

I was referred to the hospital website to get necessary forms ahead of time

Yes

No

I was placed on hold too long

Yes

No

I was offered to be called back if needed

Yes

No

I did not phone

Yes

No

Your Impression of our Receptionist (Over the Phone):

Friendly and attentive

Yes

No

Courteous

Yes

No

Informative

Yes

No

Your Impression of our Receptionist (In Person):

Stood and greeted me

Yes

No

Aware of purpose of visit

Yes

No

Seemed warm and cheerful

Yes

No

Gave me undivided attention

Yes

No

Seemed hospitable

Yes

No

Answered all my questions

Yes

No

Your Impression of our Reception Area:

Comfortable

Yes

No

Neat & Clean

Yes

No

Counter tops free from clutter

Yes

No

Retail displays are well organized

Yes

No

Odor-free

Yes

No

Pet-friendly

Yes

No

Your Impression of our Parking Lot/Grounds:

Clean

Yes

No

I found a parking spot with ease

Yes

No

Your Impression of our Hospital Website

I visited the Pet Hospital Website

Yes

No

I found the website to be helpful & resourceful

Yes

No

I printed out any necessary forms ahead of time from the Hospital Website

Yes

No

I registered to be a member and/or to receive free newsletters

Yes

No

Your Impression of our Technician:

Greeted me with warmth

Yes

No

Was gentle with my pet

Yes

No

Seemed proficient and knowledgeable

Yes

No

Gave me the information I needed

Yes

No

Pet-friendly

Yes

No

Your Impression of our Veterinarian:

Introduced himself/herself

Yes

No

Washed his/her hands before examining my pet

Yes

No

Listened to what I said & answered all my questions

Yes

No

Gave clear advice about how to treat my pet

Yes

No

Behaved professional in manner and appearance

Yes

No

Answered all my questions

Yes

No

Comforted me and my pet

Yes

No

Made me feel valued

Yes

No

Additional Questions:

Was your waiting time reasonable?

Yes

No

Do you feel the fees were reasonable?

Yes

No

Did you understand all our fees?

Yes

No

Please Explain*

Will you recommend us to others?

Yes

No

Why or why not?

What suggestions do you have for improving the office, staff or procedures?

Would you like us to contact you?

Yes

No

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