Client Survey

Pet's Name:[*]

Time of day you originally at our facility:[*]
select Day 8:00am-4:00pm Swing 4:00pm-10:00pm Grave 10:00pm- 8:00am

On a scale of 1-6 please rate the following (1 being unsatisfied, and 6 being completely satisfied):

How satisfied are you with the medical services your pet received?[*]
select 1 2 3 4 5 6

Comments:

How satisfied are you with the customer service you received? [*]
select 1 2 3 4 5 6

Comments:

Were you satisfied with the communication between you and our staff members? [*]
select 1 2 3 4 5 6

Comments:

How satisfied were you with the cleanliness of our hospital?
select 1 2 3 4 5 6

Comments:

How long did you have to wait before your pet was seen? (check one)
select under 5 minutes 5 - 15 minutes 15 - 20 minutes over 20 minutes

Did you have the opportunity to ask questions about your pet’s health?
select YES NO

Comments:

Overall how happy are you with our practice ?

Is there anything we can improve on?

Other Comments: