Feedback Survey

We welcome your feedback and your answers will be kept confidential. Please take a few minutes to fill out this survey on the timeliness and quality of the service you receive from our practice. Thank you for your participation.

General Patient Information
How often have you visited our practice within the past year?*
- First Visit
- 2-5 Visits
- More than 6
If this is your first visit, how did you find out about us?*
- Search Engine
- Facebook
- Street Sign
- Yellow Pages
- Referral
- Other
- Not Applicable
Scheduling Your Appointment
How easy was it to make an appointment by telephone?*
- Very Easy
- Easy
- Difficult
- Very Difficult
- N/A
If you scheduled an appointment, did you have to wait longer than expected?*
- No
- Yes
Was the person who scheduled your appointment courteous and helpful?*
- Very Courteous
- Courteous
- Indifferent
- Rude
- N/A
Day of Your Appointment
How would you rate the courtesy of the staff at the reception desk?*
- Very Courteous
- Courteous
- Indifferent
- Rude
- N/A
How long did you wait in the reception area beyond your scheduled appointment time?*
- 0-5 Minutes
- 5-20 Minutes
- 20-40 Minutes
- More than 40 Minutes
How long did you wait in the exam room before the veterinarian appeared?*
- 0-5 Minutes
- 5-20 Minutes
- 20-40 Minutes
- More than 40 Minutes
The Medical Support Staff
Did the support staff member clearly identify themselves?*
- Yes
- No
How would you characterize the concern that the technician/assistant showed?*
- Outstanding
- Good
- Adequate
- Needs improvement
- Poor
- N/A
How would you rate the professionalism and competence of the technician/assistant?*
- Outstanding
- Good
- Adequate
- Needs improvement
- Poor
- N/A
The Doctor
Were you able to see the veterinarian of your choice?*
- Yes
- No
Did you feel that your veterinarian spent an adequate amount of time with you?*
- Yes
- No
How would you characterize the concern that the veteriarian showed?*
- Outstanding
- Good
- Adequate
- Needs improvement
- Poor
- N/A
How would you rate the competence of your veterinarian?*
- Outstanding
- Good
- Adequate
- Needs improvement
- Poor
- N/A
Did you feel that your veterinarian’s examination was thorough?*
- Yes
- No
How do you feel about the clarity of the veterinarian’s explanation of your pet’s condition & treatment options?*
- Outstanding
- Good
- Adequate
- Needs improvement
- Poor
- N/A
How well did your veterinarian include you in healthcare decisions?*
- Outstanding
- Good
- Adequate
- Needs improvement
- Poor
- N/A
Were your questions answered to your satisfaction?*
- Yes
- No
Would you recommend this facility and its staff to your family and friends?*
- Yes
- No
Additional Feedback
Please list any areas in which our service could be improved...
Please share any additional comments...
Which is greater, 2 or 7?*