Santa Clara Pet Hospital Client Survey

1. When was the date and time of your appointment?

	MM		DD		YYYY		HH		MM	AM/PM
mm/dd/yyyy, hh:mm am/pm	When was the date and time of your appointment? mm/dd/yyyy, hh:mm am/pm Month	/	Day	/	Year		Hour	:	Minute	AM or PM

2. How did you hear about our hospital and staff? How did you find us?

How did you hear about our hospital and staff? How did you find us? Personal referral

Internet- Our Website

Internet- Review sites such as YELP, etc.

Phone Book/Yellow Pages

Drive By

Another Veterinary Hospital

Please comment regarding on how you found us? Please comment on our Website, YELP reviews, Yellow Page Advertising, etc.

3. Was the phone answered promptly? Was the receptionist helpful and were all your questions answered to your satisfaction? Please rate your phone contact with us.

Was the phone answered promptly? Was the receptionist helpful and were all your questions answered to your satisfaction? Please rate your phone contact with us. Excellent

Good

Fair

Poor

Please comment on your phone contact.

4. It was easy to make an appointment that was convenient for me.

It was easy to make an appointment that was convenient for me. Yes

Not really

Please comment on our schedule and availability.

5. My pet and I were seen for our appointment on time.

My pet and I were seen for our appointment on time. Yes

5 minutes late

10 minutes late

15 minutes late

Please comment on the time spent in the waiting room.

6. I was pleased with the overall appearance of the veterinary hospital. It was clean and smelled fresh.

I was pleased with the overall appearance of the veterinary hospital. It was clean and smelled fresh. Excellent

Good

Fair

Poor

Please comment regarding your impressions of our veterinary hospital

7. The staff was courteous and knowledgeable. They made my pet and I feel welcome and explained everything in detail.

The staff was courteous and knowledgeable. They made my pet and I feel welcome and explained everything in detail. Excellent

Good

Fair

Poor

Please comment regarding you and your pets interaction with our staff.

8. The veterinarian performed a thorough examination of my pet and explained everything clearly and in detail.

The veterinarian performed a thorough examination of my pet and explained everything clearly and in detail. Excellent

Good

Fair

Poor

Please comment on you and your pets interaction with the veterinarian.

9. Were you satisfied with the value of services received during your visit?

Were you satisfied with the value of services received during your visit? Yes

Please comment on the value of our services.

10. Would you recommend our hospital to others?

Would you recommend our hospital to others? Yes

Please comment on your overall experience with our veterinary clinic.

Santa Clara Pet Hospital Client Survey
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1. Default Section

1. When was the date and time of your appointment?

2. How did you hear about our hospital and staff? How did you find us?

3. Was the phone answered promptly? Was the receptionist helpful and were all your questions answered to your satisfaction? Please rate your phone contact with us.

4. It was easy to make an appointment that was convenient for me.

5. My pet and I were seen for our appointment on time.

6. I was pleased with the overall appearance of the veterinary hospital. It was clean and smelled fresh.

7. The staff was courteous and knowledgeable. They made my pet and I feel welcome and explained everything in detail.

8. The veterinarian performed a thorough examination of my pet and explained everything clearly and in detail.

9. Were you satisfied with the value of services received during your visit?

10. Would you recommend our hospital to others?

Santa Clara Pet Hospital Client SurveyExit this survey

1. Default Section

1. When was the date and time of your appointment?

2. How did you hear about our hospital and staff? How did you find us?

3. Was the phone answered promptly? Was the receptionist helpful and were all your questions answered to your satisfaction? Please rate your phone contact with us.

4. It was easy to make an appointment that was convenient for me.

5. My pet and I were seen for our appointment on time.

6. I was pleased with the overall appearance of the veterinary hospital. It was clean and smelled fresh.

7. The staff was courteous and knowledgeable. They made my pet and I feel welcome and explained everything in detail.

8. The veterinarian performed a thorough examination of my pet and explained everything clearly and in detail.

9. Were you satisfied with the value of services received during your visit?

10. Would you recommend our hospital to others?

Santa Clara Pet Hospital Client Survey
Exit this survey