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We value your feedback!
Please complete our client experience survey.
14
Questions
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1
Was this your first time at our clinic?
YES
NO
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2
How did you hear about us?
Laker Newspaper
Google
Facebook
Website
Signboard
Friend/Family
Other
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3
Would you recommend us to family/friends?
YES
NO
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4
Please slide the scale to rate your experience with us.
0 being terrible and 10 being wonderful
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5
Please slide the scale to rate your wait time.
0 being long delay and 10 being very prompt
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6
How helpful was our doctor?
0 being not helpful and 10 being very helpful
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7
How helpful was our staff?
0 being not helpful and 10 being very helpful
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8
How friendly was our staff?
0 being rude and 10 being very friendly
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9
How would you rate our overall communication during your visit.
0 being difficult and 10 being very easy
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10
Anything special that you can note about your visit?
We will share this with our staff to show your appreciation!
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11
Anything particular (big or small) that you did NOT like about your visit?
We will strive to find a better way to serve your and your pet!
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12
Would you like to speak with our manager about your experience?
YES
NO
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13
Name
OPTIONAL and recommended if you would like our manager to contact you.
First Name
Last Name
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14
Email
OPTIONAL if you would like our manager to contact you.
example@example.com
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