Feedback Form

Our group of hospitals values your business. In order to seve you better, we are asking you to particapate in our “Client Feedback Forum”. Please take a few moments to answer the following questions. Your input is very valuable to us!
 

 

Strongly
Agree

Agree

Disagree

Strongly
Disagree

I was warmly greeted by reception when I arrived.

 

 

 

 

 

My pet was welcomed by name.

 

 

 

 

 

I was efficiently checked in by reception.

 

 

 

 

 

My appointment began promptly at the scheduled time.

 

 

 

 

 

My veterinarian explained all procedures, problems and treatments clearly.

 

 

 

 

 

My veterinarian answered my questions clearly.

 

 

 

 

 

My veterinarian loved my pet!

 

 

 

 

 

The other hospital staff were extremely friendly and courteous.

 

 

 

 

 

The other hospital staff really cared about my pet(s).

 

 

 

 

 

The veterinary hospital was extremely clean.

 

 

 

 

 

I was checked out efficiently and all charges were clearly defined.

 

 

 

 

 

I will strongly recommend this hospital to others.

 

 

 

 

 

What are the three most important factors when choosing a veterinarian or vet hospital?
Pick only three of the following:

A. Conveniently located
B. Prompt Service
C. Services are reasonably priced 
D. Is very comforting to my pet
E. Is interested in py pet’s well-being
F. Excellent medical knowledge
G. Explains things thoroughly
H. Freindly Staff
I. Convenient hours of operation
J. Exceptionally clean hospital

 

What brand of food do you feed your pet?

Dog Food:
Cat Food:

 

At what age would you consider your pet to be in the geriatric age group (senior)?

Dog: years old.    Cat: years old.

 

What are the three most important factors when choosing pet food for your pet?
Pick only three of the following:

A. Recommended by veterinarian
B. Nutritional quality
C. Medical condition requires special diet
D. Price
E. Samples available
F. Prevention of fillness
G. Availability of food (eg. super market)
H. Product information
I. Money saving coupons available
J. Oher

 

Do you use one or more veterinary hospital in any given year?  Yes   No

If “Yes”, why?
 

 

If your pet was admitted into the hospital, please comment on your experience. We also welcome any ither comments that will enable us to provide the best service possible.