WSVH1 Survey

Thank you very much for taking the time to give us some feedback on the service you received from our practice.

While we hope that your experience has been entirely positive, any issues you raise can be used to improve our performance.

1. Please let us know when you visited us.

	MM		DD		YYYY		HH		MM	AM/PM
Time (approximate) and date	Please let us know when you visited us. Time (approximate) and date Month	/	Day	/	Year		Hour	:	Minute	AM or PM

2. Which practice did you visit today?

Which practice did you visit today? Wood St Vet Hospital in Barnet

Oakwood Vet Surgery in Radlett

Holders Hill Vet Surgery, NW7

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3. Can you please describe the reason/reasons for your visit to the practice today.
Please mark all responses which apply to you

Can you please describe the reason/reasons for your visit to the practice today. Please mark all responses which apply to you Consultation for an unwell pet

Routine health check

Health check and vaccinations

To bring your pet in for an operation or procedure

To purchase food or other 'over the counter' products

To collect medicines

To book an appointment or an operation/ procedure

To reigster a new pet

Just to ask for advice

Other (please specify)

4. Was your experience at our practice better than you expected it to be, worse than you expected it to be, or about what you expected it to be?

Was your experience at our practice better than you expected it to be, worse than you expected it to be, or about what you expected it to be? Much better

Somewhat better

Slightly better

About what was expected

Slightly worse

Somewhat worse

Much worse

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5. For those members of staff who you met today, please comment on your experience with each individual.

	Reception staff	Veterinary surgeon	Veterinary nurse	Other staff or unsure
Extremely positive	*For those members of staff who you met today, please comment on your experience with each individual. Extremely positive Reception staff	Extremely positive Veterinary surgeon	Extremely positive Veterinary nurse	Extremely positive Other staff or unsure
Good	Good Reception staff	Good Veterinary surgeon	Good Veterinary nurse	Good Other staff or unsure
Average	Average Reception staff	Average Veterinary surgeon	Average Veterinary nurse	Average Other staff or unsure
Moderately negative	Moderately negative Reception staff	Moderately negative Veterinary surgeon	Moderately negative Veterinary nurse	Moderately negative Other staff or unsure
Extremely negative	Extremely negative Reception staff	Extremely negative Veterinary surgeon	Extremely negative Veterinary nurse	Extremely negative Other staff or unsure

Any comments regarding a particular member of our staff?

6. How convenient do you find it to use our practice?

How convenient do you find it to use our practice? Extremely convenient

Very convenient

Moderately convenient

Slightly convenient

Not at all convenient

Please comment on reasons if you wish.

7. Overall how likely are you to recommend us to a friend or neighbour?

	0- impossible!	1- not likely at all	2	3- quite likely	4- very likely	5 definitely or I already do!
How likely are you to do this?	*Overall how likely are you to recommend us to a friend or neighbour? How likely are you to do this? 0- impossible!	How likely are you to do this? 1- not likely at all	How likely are you to do this? 2	How likely are you to do this? 3- quite likely	How likely are you to do this? 4- very likely	How likely are you to do this? 5 definitely or I already do!

8. Thanks once again for taking the time to do this.

Please leave us your name, your pet's name, and an email address if you would like us to respond to this feedback.

Thanks once again for taking the time to do this. Please leave us your name, your pet's name, and an email address if you would like us to respond to this feedback.

WSVH1Exit this survey

1. Please let us know when you visited us.

2. Which practice did you visit today?

*3. Can you please describe the reason/reasons for your visit to the practice today. Please mark all responses which apply to you

4. Was your experience at our practice better than you expected it to be, worse than you expected it to be, or about what you expected it to be?

*5. For those members of staff who you met today, please comment on your experience with each individual.

6. How convenient do you find it to use our practice?

7. Overall how likely are you to recommend us to a friend or neighbour?

8. Thanks once again for taking the time to do this.Please leave us your name, your pet's name, and an email address if you would like us to respond to this feedback.

WSVH1
Exit this survey

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3. Can you please describe the reason/reasons for your visit to the practice today.
Please mark all responses which apply to you

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5. For those members of staff who you met today, please comment on your experience with each individual.

8. Thanks once again for taking the time to do this.

Please leave us your name, your pet's name, and an email address if you would like us to respond to this feedback.