Pacific Veterinary Specialists - Emergency Services
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Client Feedback Survey

Your Visit
Date of Visit:
Dog or cat: Dog   Cat
Reason for visit:
Name:(optional)
Email:(optional)
Why did you choose Pacific for the care of your pet?
Reputation
Location
 Yellowpages
 Regular Vet
Internet
Friend
Other

Hospital
Were you visiting the Specialty Service or the Emergency Service?   Specialty   Emergency
Did you feel welcomed when arriving at our hospital?   Yes   No    Somewhat
Was the reception area clean and professional?   Yes   No    Somewhat
Were the exam rooms clean and professional?   Yes   No    Somewhat

Staff
Was the receptionist helpful & friendly?   Yes   No    Somewhat
Was the nurse knowledgeable and helpful?   Yes   No    Somewhat
Did the doctor make you feel comfortable and confident with the care your pet was about to receive?   Yes   No    Somewhat

Pet Care
Did you feel that your doctor was able to clearly explain the plan for the care of your pet?   Yes   No    Somewhat
Did you feel the quality of care was consistent throughout your pet's entire stay?   Yes   No    Somewhat
Did you feel your pet received compassionate care?   Yes   No    Somewhat

Overall
Would you recommend us to others?   Yes   No
Would you come again?   Yes   No
Any other comments or suggestions: