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Satisfaction Survey
9
Questions
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1
Appearance
1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree
1-5 Rating
The exterior of the practice is well kept and inviting.
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The interior of the practice is clean, organized, comfortable, and has a good fragrance.
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The appearance of our healthcare team was professional and clean.
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The exterior of the practice is well kept and inviting.
The interior of the practice is clean, organized, comfortable, and has a good fragrance.
The appearance of our healthcare team was professional and clean.
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2
Client Care
1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree
1-5 Rating
The greeting you received when you last called our clinic was friendly and professional.
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The waiting time while on-hold was acceptable.
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The time between leaving a message and receiving a return call was satisfactory.
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The availability of an appointment with my preferred doctor was adequate.
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The greeting you received when you last called our clinic was friendly and professional.
The waiting time while on-hold was acceptable.
The time between leaving a message and receiving a return call was satisfactory.
The availability of an appointment with my preferred doctor was adequate.
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3
Client Care
1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree
1-5 Rating
The greeting you and your pet received upon check-in was friendly and courteous.
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The amount of time you waited in the reception area was appropriate considering appointment time and arrival time.
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The amount of time you waited in the exam room was acceptable.
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The check-out process was convenient and timely.
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The invoice you received was accurate.
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The greeting you and your pet received upon check-in was friendly and courteous.
The amount of time you waited in the reception area was appropriate considering appointment time and arrival time.
The amount of time you waited in the exam room was acceptable.
The check-out process was convenient and timely.
The invoice you received was accurate.
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4
Patient Care
1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree
1-5 Rating
The healthcare team treated your pet with care and compassion.
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The attention given to your pet’s past history was adequate.
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The doctor’s examination of your pet was thorough.
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The doctor’s medical explanation of your pet’s condition and health recommendations was clear.
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The healthcare team made sure all your questions were answered.
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The healthcare team treated your pet with care and compassion.
The attention given to your pet’s past history was adequate.
The doctor’s examination of your pet was thorough.
The doctor’s medical explanation of your pet’s condition and health recommendations was clear.
The healthcare team made sure all your questions were answered.
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5
Overall Rating
1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree
1-5 Rating
The overall experience at our clinic was satisfactory.
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The quality of service and care given to your pet in relation to the associated cost was a good value.
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I will recommend this clinic to friends and family.
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I will continue to bring my pet to this clinic.
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The overall experience at our clinic was satisfactory.
The quality of service and care given to your pet in relation to the associated cost was a good value.
I will recommend this clinic to friends and family.
I will continue to bring my pet to this clinic.
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6
How can we improve, or what are we doing well?
Please provide additional comments, below.
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7
Name
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First Name
Last Name
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8
Email
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example@example.com
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9
Phone Number
Area Code
Phone Number
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