Customer Satisfaction Survey Tell us how we did Question Title * 1. What was the reason for your most recent visit? Routine vaccination appointment/check up Medical problem/illness appointment Emergency visit To purchase food or medications OK Question Title * 2. Did our reception staff greet you warmly and treat you in a professional manner? Yes No No/Other (please specify) OK Question Title * 3. Please rate each part of your visit: Poor Fair Good Excellent N/A Making an appointment Making an appointment Poor Making an appointment Fair Making an appointment Good Making an appointment Excellent Making an appointment N/A Checking In Checking In Poor Checking In Fair Checking In Good Checking In Excellent Checking In N/A Examination of my pet Examination of my pet Poor Examination of my pet Fair Examination of my pet Good Examination of my pet Excellent Examination of my pet N/A Medical/health recommendations Medical/health recommendations Poor Medical/health recommendations Fair Medical/health recommendations Good Medical/health recommendations Excellent Medical/health recommendations N/A Check out Check out Poor Check out Fair Check out Good Check out Excellent Check out N/A Please comment on any fair/poor responses OK Question Title * 4. Did you and your pet receive the level of care you expected? Yes No If no, why? OK Question Title * 5. Did you feel that treatment for your pet and the cost of your pet's care were explained to your satisfaction? Yes No If not please explain how this could improve. OK Question Title * 6. Do you have any unresolved issues/concerns that you would like to address? If yes please explain. If you would like someone to call you leave your name and phone number. No Yes If yes (please specify) OK Question Title * 7. Do you feel that you will return to our practice for care and/or refer friends and family? Yes No OK DONE