Pembroke Veterinary Clinic, Inc.

CLIENT SATISFACTION SURVEY

At Pembroke Veterinary Clinic, we care about pets and their people. We wish to provide you with excellent quality veterinary service in a modern, clean, and caring environment. You can help us in providing for you and your pet's needs by sharing your comments with us about your expectations regarding veterinary care. By completing this questionnaire, you can take part in our team meetings and be assured that your comments will be discussed and acted upon. Thank you very much for your time and your thoughts. Sincerely,The Team of Pembroke Veterinary Clinic

For the following questions you may select multiple anwers by holding down the control button and clicking the appropriate selections.

How Were You Referred To Our Office?

Our Parking Lot/Grounds:

Our Waiting Room Was:

Our Office Hours Are:

Our Receptionist(s):

When You Telephoned:

Your Phone Conversation Was:

Our Technician:

The Veterinarian:

The Veterinarian Was:

Was your waiting time reasonable?

Yes

Did you understand our fees?

Yes

Did you feel the fees were reasonable?

Yes

If you checked “no” to any of the above questions, please discuss here:

Why did you choose this hospital?

Have you recommended us to others?

Yes

If so, why? If not, why not?

If you were our practice manager, what improvements would you have for improving the office, team, or procedures?

Thank you for taking the time to assist us! We strive to offer you and your pet quality veterinary care. Please visit us online at www.pembrokevetclinic.com.

Client Name:

Patient Name:

Veterinarian:

Date of Appointment: