We take pride in our hospital and the quality of veterinary medicine offered to you. We value your opinion on how we are doing or how we can improve our hospital and services.

How did you hear about our hospital?

Your comments here

Why did you choose our hospital?
Your comments here

Was the reception staff:
Prompt in greeting you?	Yes	No
Courteous and helpful?	Yes	No
Pleasant on the phone?	Yes	No
Neat in appearance?	Yes	No

Please comment on the reception staff:
Your comments here

Was the hospital:
Clean and neat in appearance?	Yes	No
Fresh smelling?	Yes	No
Waiting time acceptable?	Yes	No
Exam room clean?	Yes	No

Please comment on the hospital:
Your comments here

Did the attending veterinarian:
Act in a professional manner?	Yes	No
Explain problems, treatments and plans in a sufficient manner?	Yes	No
Appear friendly and courteous?	Yes	No
Provide information when more technical information was needed?	Yes	No

Please comment on the attending veterinarian:
Your comments here

Did the technicians and assistants:
Appear friendly and courteous?	Yes	No
Appear/act in a professional manner?	Yes	No
Seem knowledgeable?	Yes	No
Show interest in your pet or pet's problem?	Yes	No

Please comment on the technicians and assistants:
Your comments here

How would you rate your overall visit?
	Excellent	Good	Average	Adequate	Poor

Please comment:
Your comments here

Thank you for taking the time to answer our questions. It will help to recognize and reward dedicated staff members and by creating an awareness of our strengths and weaknesses, allow us to improve our services.