Forms : Client Satisfaction Survey

Form - Client Satisfaction Survey

Client Name: (optional)
First Name
Last Name
What services did your pet receive during your most recent visit to South Trail Animal Hospital? (required)
Exam and vaccines
Sick pet/ Emergency
Dentistry, surgery, or hospitalized procedure
Recheck Exam
Boarding
Bathing
Other:

When calling the hospital was your call answered quickly and professionally? (required)
Yes
No
Comments:

If a return call was requested was it returned in a timely manner? (required)
Yes
No
I did not request a return call
Comments:

When arriving at the hospital were you greeted promptly and in a friendly manner? (required)
Yes
No
Comments:

Was our reception staff efficient and knowledgeable? (required)
Yes
No
Comments:

Was your time in the lobby/exam room reasonable? (required)
Yes
No
Comments:

Was the technician friendly and thorough in asking all pertinent information regarding your visit? (required)
Yes
No
Did not meet with a technician
Comments:

Did the doctor give detailed information and answer all your questions? (required)
Yes
No
Did not meet with a doctor
Comments:

If medications were prescribed for your pet, were the instructions explained in detail? (required)
Yes
No
Did not receive any medications
Comments:

If your pet was hospitalized, were you regularly updated on the status of your pet's condition? (required)
Yes
No
Pet was not hospitalized
Comments:

If your pet(s) boarded with us were you satisfied with the level of care received? (required)
Yes
No
Did not board pet
Comments:

If your pet received a bath at our hospital, were you pleased with the result? (required)
Yes
No
Pet did not receive bath
Comments:

Did South Trail Animal Hospital staff meet or exceed your expectations? (required)
Did not meet expectations
Met expectations
Exceeded expectations
Comments:

Please rate the following:
Friendliness of staff: (required)
Excellent
Very good
Average
Fair
Poor
Cleanliness of hospital: (required)
Excellent
Very good
Average
Fair
Poor
Attentiveness to your pet's needs (required)
Excellent
Very good
Average
Fair
Poor
Overall opinion of the hospital: (required)
Excellent
Very good
Average
Fair
Poor
Do you have any suggestions to better serve you and your pet's needs?

How did you hear about South Trail Animal Hospital? (required)
Friend
Phone book
Internet
Other:


The verification code below ensures the form is not submitted by a computer
Verification Code :
Enter the code you see in the graphic below in this box.
Your post will not be allowed if you do not type this in correctly.