Client Satisfaction Survey

Thank you for taking the time to complete this survey

How were your referred to our clinic?*

Additional Comments

When you telephoned:*

Your call was answered promptly
There was a long wait for someone to answer
You had trouble getting through
You were placed on hold too long
I did not call

Choose all that apply

Additional Comments

Your telephone conversation was:

Courteous
Hurried
Helpful
Informative
Impolite

Choose all that apply

Additional Comments

When you came in to our clinic, our Receptionist:*

Greeted you
Was warm and cheerful
Was cold or unfriendly
Gave their undivided attention
Was hospitable
Was helpful and knowledgable

Choose all that apply

Additional Comments

Our Technician/Nurse

Greeted you warmly
Was gentle with your pet
Was knowledgable and competent
Provided excellent medical care
Was cold or unfriendly
Was a poor communicator

Choose all that apply

Additional Comments

Your Veterinarian*

Introduced herself with a warm greeting
Listened well to my pet's present symptoms
Did not seem interested in what I had to say
Spent an adequate amount of time with me and my pet
Seemed in a hurry
Was thorough and complete when examining my pet

Choose all that apply

Additional Comments

Your Veterinarian:*

Described the diagnosis and treatment well
Was professional in manner and appearance
Made me feel comfortable
Made my pet feel at ease
Was insensitive

Choose all that apply

Additional Comments

Our waiting room was:*

Comfortable
Neat and clean
Uncomfortable
Disorderly
Odor-free
Needed odor control
Child-friendly

Choose all that apply

Additional Comments

Was your waiting time reasonable?*

Yes
No

Additional Comments

Did you understand our fees?*

Yes
No

Additional Comments

Do you feel that our fees are reasonable?*

Yes
No

Additional Comments

Our clinic hours are:*

Convenient
Restrictive

Additional Comments

How would you rank your experience at Millwoods East Veterinary Clinic?*

Unsatisfactory
Satisfactory
Good
Excellent

Additional Comments

Would you recommend Millwoods East Veterinary Clinic to your friends and family?*

Yes
No

Additional Comments

Please leave your name and phone number or email address below, ONLY if you would like to be contacted by our staff TO DISCUSS A CONCERN.

Name

First Last

Phone

Email

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