Pet Emergency Treatment Service

Pet Emergency Treatment Service - Client Survey

Our goal is to provide the highest quality of medical care for our patients and the best possible service for our clients. Your opinion is very important to us.

1. Doctor caring and knowledgeable?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Doctor caring and knowledgeable? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

2. Other staff friendly and helpful?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Other staff friendly and helpful? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

3. Quality of medical care?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Quality of medical care? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

4. Wait time reasonable?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Wait time reasonable? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

5. Value for your money?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Value for your money? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

6. Organization and efficiency?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Organization and efficiency? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

7. Hospital appearance?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Hospital appearance? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

8. Overall experience?

	Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A
Please select a rating	Overall experience? Please select a rating Needs Improvement	Fair	Satisfactory	Good	Excellent	N/A

9. Was there any specific staff member or incident that particularly impressed you in a positive or negative way today?

Was there any specific staff member or incident that particularly impressed you in a positive or negative way today?

10. May we post your comment on our website?

May we post your comment on our website? Yes

11. Checkout time and date of visit

	MM		DD		YYYY		HH		MM	AM/PM
Date/Time	Checkout time and date of visit Date/Time Month	/	Day	/	Year		Hour	:	Minute	AM or PM

THANK YOU FOR YOUR VALUABLE INPUT!

12. Name (Optional)

Name (Optional)

13. Phone(Optional)

Phone(Optional)

HOW DID WE DO?