Richland Veterinary Hospital
Client Satisfaction Survey

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* 1. How did you choose our office?

A friend or relative recommended the practice

I drove by

I saw the practice online

Other (please specify)

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* 2. The reception area is:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Comfortable	Comfortable Strongly Agree	Comfortable Agree	Comfortable Neutral	Comfortable Disagree	Comfortable Strongly Disagree
Clean and neat	Clean and neat Strongly Agree	Clean and neat Agree	Clean and neat Neutral	Clean and neat Disagree	Clean and neat Strongly Disagree
Odor-free	Odor-free Strongly Agree	Odor-free Agree	Odor-free Neutral	Odor-free Disagree	Odor-free Strongly Disagree

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* 3. Office hours are convenient

Agree

Disagree

Neutral

If Disagree, please specify more convenient times for you:

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* 4. The Receptionist(s)

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Was accommodating	Was accommodating Strongly Agree	Was accommodating Agree	Was accommodating Neutral	Was accommodating Disagree	Was accommodating Strongly Disagree
Seemed warm and cheerful	Seemed warm and cheerful Strongly Agree	Seemed warm and cheerful Agree	Seemed warm and cheerful Neutral	Seemed warm and cheerful Disagree	Seemed warm and cheerful Strongly Disagree

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* 5. The technician(s):

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Seemed warm and cheerful	Seemed warm and cheerful Strongly Agree	Seemed warm and cheerful Agree	Seemed warm and cheerful Neutral	Seemed warm and cheerful Disagree	Seemed warm and cheerful Strongly Disagree
Seemed knowlegable	Seemed knowlegable Strongly Agree	Seemed knowlegable Agree	Seemed knowlegable Neutral	Seemed knowlegable Disagree	Seemed knowlegable Strongly Disagree

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* 6. The veterinarian:

	Strongly Agree	Agree	Neutral	Disagree	Strongly disagree
Seemed warm and cheerful	Seemed warm and cheerful Strongly Agree	Seemed warm and cheerful Agree	Seemed warm and cheerful Neutral	Seemed warm and cheerful Disagree	Seemed warm and cheerful Strongly disagree
Gave us undivided attention	Gave us undivided attention Strongly Agree	Gave us undivided attention Agree	Gave us undivided attention Neutral	Gave us undivided attention Disagree	Gave us undivided attention Strongly disagree
Seemed knowledgeable	Seemed knowledgeable Strongly Agree	Seemed knowledgeable Agree	Seemed knowledgeable Neutral	Seemed knowledgeable Disagree	Seemed knowledgeable Strongly disagree
Answered all my questions	Answered all my questions Strongly Agree	Answered all my questions Agree	Answered all my questions Neutral	Answered all my questions Disagree	Answered all my questions Strongly disagree

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* 7. When I telephoned:

	Strongly Agree	Agree	Neutral	Disagree	Strongly disagree
My call was answered promptly	My call was answered promptly Strongly Agree	My call was answered promptly Agree	My call was answered promptly Neutral	My call was answered promptly Disagree	My call was answered promptly Strongly disagree
Making an appointment was easy	Making an appointment was easy Strongly Agree	Making an appointment was easy Agree	Making an appointment was easy Neutral	Making an appointment was easy Disagree	Making an appointment was easy Strongly disagree

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* 8. What day of the week and time of day was your visit?

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning	Morning Monday	Morning Tuesday	Morning Wednesday	Morning Thursday	Morning Friday	Morning Saturday
Afternoon	Afternoon Monday	Afternoon Tuesday	Afternoon Wednesday	Afternoon Thursday	Afternoon Friday	Afternoon Saturday
Evening	Evening Monday	Evening Tuesday	Evening Wednesday	Evening Thursday	Evening Friday	Evening Saturday

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* 9. Do you have any other comments, questions, or concerns? If so and you would like to be contacted to discuss your comments, please provide name and contact information.