1. Was our hospital facility clean and attractive?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

2. Were we able to book your appointment for a time that was convenient?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

3. Were you greeted promptly, and was our receptionist pleasant and responsive to your needs?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

4. Do you feel that your wait time was appropriate to address the needs of your pet?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

5. Was your pet handled appropriately by our technician?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

6. Did the Doctor do a thorough physical exam on your pet and clearly address your concerns?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

7. Do you feel that you were able to comfortably talk with our Doctors and staff?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

8. Did we offer to make you and you pet more comfortable while you were here?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

9. Was our staff knowledgeable about the needs of your pet?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

10. Were our fees appropriate for the service, products and level of care your pet received?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

11. Do you find our mailed vaccination reminders and newsletters helpful?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

12. Is our website attractive and easy to navigate?

Excellent:      Good:     Fair:     Poor:     Indifferent: 

13. Please add comments and suggestions on how we can better help you care for your pets:

*Type the text you see in the image above.