GWLAH - Client Survey

Thank you for giving us the opportunity to serve you!

Please help us better meet your needs by taking a few moments to complete this questionnaire.

As you answer the questions, think about your experience on this visit only.

Thank you for your participation!

ALL FIELDS ARE REQUIRED

Client Name

Address

Email Address

Phone

Would you like us to contact you?

YES

NO

I was satisfied with my overall experience on this visit.

I was satisfied with the value I received for the money which I spent on this visit.

The facility was clean.

I was satisfied with the number of days I waited for my appointment after scheduling it.

The front desk staff was courteous, efficient and competent.

The front desk staff was concerned about my pet.

I was satisfied with the number of minutes I spent in the reception area before my appointment.

I was satisfied with the number of minutes I spent in the exam room before the veterinarian came in.

The veterinarian was compassionate.

The veterinarian explained things clearly and completely.

The veterinarian's assistant was knowledgeable and competent.

The date service was provided:

Name of veterinarian who saw your pet on this visit:

Please share any comments you feel would help us understand why you rated us the way you did:

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