Client Satisfaction Survey

Services include preventative health care, surgery, dentistry, medicine and hospitalization. Other non-medical services include boarding, flea and tick control, prescription diets.

At St. Francis, we value each client relationship. Will you please take a moment to complete and submit this brief survey?

1. Do you plan to continue bringing your pet(s) to St Francis? Yes ... No

......If no, please share your reason for leaving us:

....... Moved

....... Service Problem......

....... Did Not Like Doctor...

....... Cost Of Care

....... Did Not See The Same Doctor Each Time I Visited

....... Other...

2. How would you rate the overall level of service at our clinic?

Very Satisfied ... Somewhat Satisfied ... Somewhat Dissatisfied ... Very Dissatisfied

...Comments:

3. Were you able to schedule an appointment that fit your schedule? Yes ... No

4. Did you request to see a specific doctor? Yes ... No

.....If no, did the receptionist ask if you had a doctor preference? Yes ... No

5. Was the doctor courteous and genuinely concerned with your pet's health? Yes ... No

6. Did the doctor explain your pet's health or illness clearly and completely? Yes ... No

7. Do you feel that your pet received quality professional care? Yes ... No

8. If your pet was hospitalized, did you receive adequate home-care instructions? Yes ... No

9. Would you recommend St. Francis to your friends? Yes ... No

10. How would you improve our clinic's service?

11. If you could change anything about St. Francis, what would it be?

Thank You For Your Feedback!

If you would like us to contact you, please provide:

Name: ........ Phone:

From: ...To:...

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