Pachaug Animal Hospital Client Satisfaction Survey
1.
If today was your first time visiting us, why did you choose our vet clinic?
Good online reviews
It is close by
It is well advertised
Word of mouth
Former client of Dr. Gay
Not applicable
2.
What was the nature of your most recent visit?
Wellness exam
Sick exam
Surgery
Technician visit
Drop-off exam
None of the above
*
3.
What was your opinion of the reception staff?
(Required.)
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Professionalism
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Friendliness
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Ability to answer questions
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Efficiency in checking in and out
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
*
4.
What was your opinion on the technician(s) who worked with your pet?
(Required.)
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Professionalism
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Client education/communication
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Sensitivity toward owner and animal
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Ability to communicate your concerns to the doctor
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
5.
All of the technicians at Pachaug Animal Hospital are Fear Free® certified, meaning we have specific procedures in place to make your pet’s visit as fear-free as possible. How would you rate your satisfaction with the technician’s respect and behavior towards your pet(s)?
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
*
6.
What was your opinion of Dr. Belair?
(Required.)
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Professionalism
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Respect for the animal
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Communication
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Client education
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
Sensitivity toward owner and animal
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Above and beyond
7.
Did you feel that the Dr. Belair understood and addressed the needs of your pet(s)?
Yes
No
8.
Did you feel that Dr. Belair clearly explained your pet’s condition, treatment method, how to administer medication, and follow up care?
Yes
No
9.
How satisfied are you with the cost of services for the value you and your pet have received?
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
10.
Were you satisfied with the length of your wait for your pet's appointment?
Yes
No
11.
How would you rate the cleanliness of our clinic?
Very unclean
1 star
Somewhat clean
2 stars
Clean
3 stars
Very clean
4 stars
Exceptionally clean
5 stars
12.
On a scale of 1 to 5, with 5 being the highest level of trust, how would you rate the level of trust and confidence you have in our clinic?
1
1 star
2
2 stars
3
3 stars
4
4 stars
5
5 stars
13.
How likely are you to recommend our clinic to a friend?
Very unlikely
Unlikely
Likely
Very likely
14.
Please add any additional comments below about how we can improve our clinic and your experience!