Client Satisfaction Survey

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* 1. Please rate the relative importance that you place on each of the following in your decision to select a specific veterinarian or veterinary practice for your animal’s needs. Factors that receive greater emphasis or importance should receive higher ratings. (1=low, 5=high)

	1	2	3	4	5
Competence in veterinary skills	Competence in veterinary skills 1	Competence in veterinary skills 2	Competence in veterinary skills 3	Competence in veterinary skills 4	Competence in veterinary skills 5
How your animals are handled	How your animals are handled 1	How your animals are handled 2	How your animals are handled 3	How your animals are handled 4	How your animals are handled 5
Professionalism of the veterinarian	Professionalism of the veterinarian 1	Professionalism of the veterinarian 2	Professionalism of the veterinarian 3	Professionalism of the veterinarian 4	Professionalism of the veterinarian 5
Convenience of the service to the client	Convenience of the service to the client 1	Convenience of the service to the client 2	Convenience of the service to the client 3	Convenience of the service to the client 4	Convenience of the service to the client 5
Availability of a specific veterinarian	Availability of a specific veterinarian 1	Availability of a specific veterinarian 2	Availability of a specific veterinarian 3	Availability of a specific veterinarian 4	Availability of a specific veterinarian 5
Personality and attitude of the veterinarian	Personality and attitude of the veterinarian 1	Personality and attitude of the veterinarian 2	Personality and attitude of the veterinarian 3	Personality and attitude of the veterinarian 4	Personality and attitude of the veterinarian 5
Costs and fees	Costs and fees 1	Costs and fees 2	Costs and fees 3	Costs and fees 4	Costs and fees 5
Client education abilities and opportunities	Client education abilities and opportunities 1	Client education abilities and opportunities 2	Client education abilities and opportunities 3	Client education abilities and opportunities 4	Client education abilities and opportunities 5
Listening skills of the veterinarian	Listening skills of the veterinarian 1	Listening skills of the veterinarian 2	Listening skills of the veterinarian 3	Listening skills of the veterinarian 4	Listening skills of the veterinarian 5
Over-all satisfaction	Over-all satisfaction 1	Over-all satisfaction 2	Over-all satisfaction 3	Over-all satisfaction 4	Over-all satisfaction 5
Scheduling: ease and proficiency	Scheduling: ease and proficiency 1	Scheduling: ease and proficiency 2	Scheduling: ease and proficiency 3	Scheduling: ease and proficiency 4	Scheduling: ease and proficiency 5
Punctuality of appointment	Punctuality of appointment 1	Punctuality of appointment 2	Punctuality of appointment 3	Punctuality of appointment 4	Punctuality of appointment 5
Doctor performance	Doctor performance 1	Doctor performance 2	Doctor performance 3	Doctor performance 4	Doctor performance 5
Staff performance	Staff performance 1	Staff performance 2	Staff performance 3	Staff performance 4	Staff performance 5
Quality of facilities and equipment	Quality of facilities and equipment 1	Quality of facilities and equipment 2	Quality of facilities and equipment 3	Quality of facilities and equipment 4	Quality of facilities and equipment 5
Cleanliness of facilities and equipment	Cleanliness of facilities and equipment 1	Cleanliness of facilities and equipment 2	Cleanliness of facilities and equipment 3	Cleanliness of facilities and equipment 4	Cleanliness of facilities and equipment 5
Medical outcome	Medical outcome 1	Medical outcome 2	Medical outcome 3	Medical outcome 4	Medical outcome 5
Communication with clients	Communication with clients 1	Communication with clients 2	Communication with clients 3	Communication with clients 4	Communication with clients 5
Clarity of the invoice	Clarity of the invoice 1	Clarity of the invoice 2	Clarity of the invoice 3	Clarity of the invoice 4	Clarity of the invoice 5
Payment options or terms of payment that are available	Payment options or terms of payment that are available 1	Payment options or terms of payment that are available 2	Payment options or terms of payment that are available 3	Payment options or terms of payment that are available 4	Payment options or terms of payment that are available 5

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* 2. Please rate each of the following regarding our veterinary services in each of the categories below. Higher satisfaction should receive higher ratings. (1=low, 5=high)

	1	2	3	4	5	N/A
Competence in veterinary skills	Competence in veterinary skills 1	Competence in veterinary skills 2	Competence in veterinary skills 3	Competence in veterinary skills 4	Competence in veterinary skills 5	Competence in veterinary skills N/A
How your animals are handled	How your animals are handled 1	How your animals are handled 2	How your animals are handled 3	How your animals are handled 4	How your animals are handled 5	How your animals are handled N/A
Professionalism of the veterinarian	Professionalism of the veterinarian 1	Professionalism of the veterinarian 2	Professionalism of the veterinarian 3	Professionalism of the veterinarian 4	Professionalism of the veterinarian 5	Professionalism of the veterinarian N/A
Convenience of the service to the client	Convenience of the service to the client 1	Convenience of the service to the client 2	Convenience of the service to the client 3	Convenience of the service to the client 4	Convenience of the service to the client 5	Convenience of the service to the client N/A
Availability of a specific veterinarian	Availability of a specific veterinarian 1	Availability of a specific veterinarian 2	Availability of a specific veterinarian 3	Availability of a specific veterinarian 4	Availability of a specific veterinarian 5	Availability of a specific veterinarian N/A
Personality and attitude of the veterinarian	Personality and attitude of the veterinarian 1	Personality and attitude of the veterinarian 2	Personality and attitude of the veterinarian 3	Personality and attitude of the veterinarian 4	Personality and attitude of the veterinarian 5	Personality and attitude of the veterinarian N/A
Costs and fees	Costs and fees 1	Costs and fees 2	Costs and fees 3	Costs and fees 4	Costs and fees 5	Costs and fees N/A
Client education abilities and opportunities	Client education abilities and opportunities 1	Client education abilities and opportunities 2	Client education abilities and opportunities 3	Client education abilities and opportunities 4	Client education abilities and opportunities 5	Client education abilities and opportunities N/A
Listening skills of the veterinarian	Listening skills of the veterinarian 1	Listening skills of the veterinarian 2	Listening skills of the veterinarian 3	Listening skills of the veterinarian 4	Listening skills of the veterinarian 5	Listening skills of the veterinarian N/A
Over-all satisfaction	Over-all satisfaction 1	Over-all satisfaction 2	Over-all satisfaction 3	Over-all satisfaction 4	Over-all satisfaction 5	Over-all satisfaction N/A
Scheduling: ease and proficiency	Scheduling: ease and proficiency 1	Scheduling: ease and proficiency 2	Scheduling: ease and proficiency 3	Scheduling: ease and proficiency 4	Scheduling: ease and proficiency 5	Scheduling: ease and proficiency N/A
Punctuality of appointment	Punctuality of appointment 1	Punctuality of appointment 2	Punctuality of appointment 3	Punctuality of appointment 4	Punctuality of appointment 5	Punctuality of appointment N/A
Doctor performance	Doctor performance 1	Doctor performance 2	Doctor performance 3	Doctor performance 4	Doctor performance 5	Doctor performance N/A
Staff performance	Staff performance 1	Staff performance 2	Staff performance 3	Staff performance 4	Staff performance 5	Staff performance N/A
Quality of facilities and equipment	Quality of facilities and equipment 1	Quality of facilities and equipment 2	Quality of facilities and equipment 3	Quality of facilities and equipment 4	Quality of facilities and equipment 5	Quality of facilities and equipment N/A
Cleanliness of facilities and equipment	Cleanliness of facilities and equipment 1	Cleanliness of facilities and equipment 2	Cleanliness of facilities and equipment 3	Cleanliness of facilities and equipment 4	Cleanliness of facilities and equipment 5	Cleanliness of facilities and equipment N/A
Medical outcome	Medical outcome 1	Medical outcome 2	Medical outcome 3	Medical outcome 4	Medical outcome 5	Medical outcome N/A
Communication with clients	Communication with clients 1	Communication with clients 2	Communication with clients 3	Communication with clients 4	Communication with clients 5	Communication with clients N/A
Clarity of the invoice	Clarity of the invoice 1	Clarity of the invoice 2	Clarity of the invoice 3	Clarity of the invoice 4	Clarity of the invoice 5	Clarity of the invoice N/A
Payment options or terms of payment that are available	Payment options or terms of payment that are available 1	Payment options or terms of payment that are available 2	Payment options or terms of payment that are available 3	Payment options or terms of payment that are available 4	Payment options or terms of payment that are available 5	Payment options or terms of payment that are available N/A
Likelihood of using the service again	Likelihood of using the service again 1	Likelihood of using the service again 2	Likelihood of using the service again 3	Likelihood of using the service again 4	Likelihood of using the service again 5	Likelihood of using the service again N/A
Likelihood of recommending the service to others	Likelihood of recommending the service to others 1	Likelihood of recommending the service to others 2	Likelihood of recommending the service to others 3	Likelihood of recommending the service to others 4	Likelihood of recommending the service to others 5	Likelihood of recommending the service to others N/A

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* 3. Please provide explanations for any low ratings above or recommendations for improvements. If possible, please be specific.

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* 4. What services that we do not currently offer would you like us to offer in the future?

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* 5. Please rate each form of communication regarding which you prefer most. Your most preferred forms of communication with our veterinary service should be rated higher. It is okay to have more than one with the same rating. (1=low, 5=high)

	1	2	3	4	5
Telephone	Telephone 1	Telephone 2	Telephone 3	Telephone 4	Telephone 5
Email	Email 1	Email 2	Email 3	Email 4	Email 5
Text	Text 1	Text 2	Text 3	Text 4	Text 5
Facebook	Facebook 1	Facebook 2	Facebook 3	Facebook 4	Facebook 5
Twitter	Twitter 1	Twitter 2	Twitter 3	Twitter 4	Twitter 5
Regular mail	Regular mail 1	Regular mail 2	Regular mail 3	Regular mail 4	Regular mail 5
Printed newsletter	Printed newsletter 1	Printed newsletter 2	Printed newsletter 3	Printed newsletter 4	Printed newsletter 5
E-newsletter	E-newsletter 1	E-newsletter 2	E-newsletter 3	E-newsletter 4	E-newsletter 5
Face to face	Face to face 1	Face to face 2	Face to face 3	Face to face 4	Face to face 5

Other (please specify)

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* 6. Which of the following best describes your relationship with our veterinary service? (Select only one.)

current client

former client

prospective client

Other (please specify)

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* 7. If you are a former client, what was the primary reason for no longer using our services?

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* 8. How long have you used our services?

never

less than 1 year

1 to 5 years

more than 5 years

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* 9. Your gender:

Female

Male

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* 10. If you'd like to be added to our client education email list, please provide your email address here. This will be kept separate and confidential from your responses. Your email address will not be shared without your permission.

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* 11. What is the primary animal species that you trust to our care? (select only one)

Horse

Camelids

Sheep

Goats