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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: