THANK YOU!

Thank you for choosing Primary Care Dog and Cat Hospital for your pet's care. Your satisfaction with the services we provide is important to us. Please complete this short, anonymous survey below to help us provide the best service possible.

 

Form - Patient Satisfaction Survey

1. Was this your first visit to Primary Care Dog and Cat Hospital?
Yes
No


2. Convenience of our hours
Excellent
Very Good
Good
Fair
Poor


3. Ease of Making your appointment
Excellent
Very Good
Good
Fair
Poor


3. Promptness with which your pet was seen by the doctor
Excellent
Very Good
Good
Fair
Poor


5. Thoroughness of care your pet received
Excellent
Very Good
Good
Fair
Poor


6. Clarity of Doctor's explanations
Excellent
Very Good
Good
Fair
Poor


7. Doctor's friendliness and courtesy
Excellent
Very Good
Good
Fair
Poor


8. Staff's friendliness and courtesy
Excellent
Very Good
Good
Fair
Poor


9. Knowledge/Assistance of hospital staff
Excellent
Very Good
Good
Fair
Poor


10. Comfort and cleanliness of hospital
Excellent
Very Good
Good
Fair
Poor


11. Overall satisfaction with your visit
Excellent
Very Good
Good
Fair
Poor


12. Will you be returning to see us?
Yes
No
Uncertain


13. Would you recommend us to others?
Yes
No
Uncertain


Please add any additional information that you feel would help us to serve you and your pet better.

Name (Optional)
First Name
Last Name
Pet's name


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