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 Information

How would you rate our concern for you & your pet’s privacy?

 Outstanding Good Adequate Needs improvement Poor N/A

How often have you visited our practice within the past year?

 First Visit 2-5 Visits More then 6

Would you recommend this facility and its staff to your family and friends?

 Yes No

Scheduling Your Appointment

Did you schedule an appointment by phone, online or did you drop in?

 Scheduled by Phone Scheduled Online Drop In

If you scheduled an appointment, did you have to wait longer than expected?

 No Yes

How easy was it to make an appointment?

 Very Easy Easy Difficult Very Difficult N/A

Was the person who scheduled your appointment courteous and helpful?

 Very Courteous Courteous Indifferent Rude N/A

Were you asked to pre-book your next appointment before leaving the clinic?

 No Yes

Day of Your Appointment

How would you rate the courtesy of the staff at the reception desk?

 Very Courteous Courteous Indifferent Rude N/A

Did you wait in the reception area beyond your scheduled appointment time?

 No Yes

If yes please estimate length of time:

How long did you wait in the exam room before the veterinarian appeared?

 0-5 Minutes 5-20 Minutes 20-40 Minutes More then 40 Minutes

Appearance of the clinic

Did the exterior of the clinic appear neat and tidy?

 Yes Somewhat No

Was the reception/waiting area clean?

 Yes Somewhat No

Was the exam room clean?

 Yes Somewhat No

If you purchased food or supplies was it easy?

 Yes No N/A

If no please explain:

The Medical Support Staff

Did the support staff member clearly identify themselves & their qualifications?

 Yes No

How would you characterize the concern that the technician/assistant showed?

 Outstanding Good Adequate Needs improvement Poor N/A

Did the technician/assistant respond to your requests within a reasonable period?

 Yes No

How would you rate the professionalism and competence of the technician/assistant?

 Outstanding Good Adequate Needs improvement Poor N/A

The Doctor

Which veterinarian did your pet see?

 Dr. Kathy Marchildon Dr. Sandy Drury Not Sure

Did you feel that your veterinarian spent an adequate amount of time with you?

 Yes No

Did you feel that the veterinarian truly cared about the wellbeing of your pet?

 Yes Somewhat No

Did the veterinarian perform a thorough examination and explanation of your pet’s condition & treatment options with you?

 Yes Somewhat No

Were your questions answered to your satisfaction?

 Yes No

Additional Feedback

Please list any areas in which our service could be improved…

If you had concerns about your visit and would like to be contacted by the office manager, please leave your name and the preferred method of contact below. We would like the opportunity to make your experience a positive one.

Please share any additional comments…

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