Berwick Animal Hospital Client Survey

Berwick Animal Hospital Client Survey
5733 Ogeechee Rd Savannah GA 31405

912-232-4249 // berwickvet@gmail.com
Thank you for choosing Berwick Animal Hospital!
We appreciate your feedback and invite you to complete a brief survey regarding your visit today!

If you complete this form in its entirety on the day of your appointment, you will receive a small thank you gift from our team!

All participants will be entered in a drawing to win several other gifts (tote bags, t-shirts etc) and one large prize will be awarded during the second week of December 2024. Please make sure your contact information is kept current with our front desk.

Your feedback is vital in helping us meet the evolving needs and expectations of our amazing clients and their furbabies and families!

THANK YOU FOR YOUR PARTICIPATION!!!!
Client Name

First NameLast Name
Pet Name(s)
Date of Appointment

MonthDayYear
Date
Time of Appointment

Hour Minutes

AM/PM Option
How long have you been a client of our hospital?

This is my first visitUnder 1 year1-3 years4-6 years7-10 yearsMore than 10 years
When you first became a client, how did you find out about us?

Word of Mouth / Client Referral (please provide name in the comments)Social MediaInternet SearchGoogle MapsDrove by the clinicOther
What was your main reason for coming to our hospital today?

New to the area, needed to establish my pet at a veterinarianAdded new family petTransferred from another veterinarianWellness VisitSick or Problem/Concern VisitEmergency Visit
How do you rate our veterinary medical services and veterinary care?

Below Average Medical Standards and CareAverage Medical Standards and CareAbove Average Medical Standards and CareExcellent Medical Standards Care
When you think about our client service team, how would you rate our customer service, using the scale?

Below AverageAverageAbove AverageSuperior
When calling our practice, how often are you placed on hold by our customer service team?

Not oftenFairly frequentlyUsually each time I callEvery time I call
Comments: You may provide specific feedback about the client service team below
How easy was it to schedule an appointment?

1

2

3

4

5

1 is Very difficult and time consuming, 5 is Easy and thorough
Comment: You may provide feedback regarding our phone or scheduling system
When you think about our veterinary assistants and patient care team, how would you rate us using the scale?

1

2

3

4

5

1 is Needs Improvement, 5 is Excellent
Comments: Please provide feedback about the veterinarian support team below
When you think about our veterinarians, how would you rate them using the scale?

1

2

3

4

5

1 is Needs Improvement, 5 is Excellent
How satisfied are you with the communication regarding your pet's treatment plan at our veterinary hospital? Rate 1 (not satisfied) to 5 (very satisfied).

1

2

3

4

5

1 is Not satisfied, 5 is Very satisfied
How satisfied are you with the medical care that your pet received at our veterinary hospital? Rate 1 (not satisfied) to 5 (very satisfied).

1

2

3

4

5

1 is Not satisfied, 5 is Very satisfied
Would you request again to see the veterinarian who treated your pet today?

Yes, I was very satisfied and would like to continue the relationshipNo, I would request to see a different veterinarian next time (if no, please provide more information below)I am completely satisfied with both veterinarians and would be happy to see either for my next visit
Comments: If you would NOT request to see today's veterinarian again, please give details as to why, OR provide details regarding your POSITIVE experience with the veterinarian today.
When you think about the fees for our veterinary services or products, where do you feel we fall on a scale of 1 (Not a good value at all) to 5 (Great Value).

1

2

3

4

5

1 is Low Value, 5 is Great value
What are your most important priorities when it comes to your pet's veterinary care? (select up to 3)

Location to homeConvenience of appointmentsConnection with the veterinarian and the teamPrice of services and productsFlexible PaymentsAbility to work with fearful or aggressive petsEducation and Information regarding my pet's conditionKennel / Boarding availabilityGrooming availabilityAlternative and holistic medicineOther
If Other, please indicate
Do you currently follow us on our social media channels?

YesNo
If yes, which platforms? (You may select more than one)

FacebookInstagramNextdoorOther
Do you use our website to request appointments?

YesNoI was not aware you had that option
What veterinary services or care options would you like to see offered at our veterinary hospital for your pet?
What do you feel our veterinary hospital excels at?
What do you feel our veterinary hospital should improve upon?
If you had to choose one word to describe our veterinary hospital, what word would that be?
Are there any other comments or feedback you would like to give us?
What age range are you?

18-2425-3435-4445-6465-7475 years or older
Employment Status

StudentRetiredActive MilitarySelf-EmployedEmployed Full TimeEmployed Part TimeNot currently working
Would you like the opportunity to discuss your survey answers with a member of our leadership team? If yes, please fill out the information below.

YesNo
Full Name

First NameLast Name
Email
example@example.com
Should be Empty:

Berwick Animal Hospital Client Survey

5733 Ogeechee Rd Savannah GA 31405