Client experience survey

Tell us what you think!  At Cornerstone Veterinary Clinic, we care about pets and their people, and we strive to provide you with excellent veterinary service in a modern, clean and caring environment.  You can help us reach and maintain this level of service by sharing your needs and expectations.  By completeing this questionnaire, you'll help us discover topics that concern you so we can make our practice better.  Thank you for your time and thoughts.

Form - Client experience survey Form

Name
First Name
Last Name
Phone
Phone TypePhone Number
E-Mail Address :
When calling our office is the staff professional and courteous?
Rarely
Sometimes
Always

When calling our office is the staff knowledgable?
Rarely
Sometimes
Always

If you had an unsatisfactory experience when calling our office please share your comments below.

When visiting our office is the reception area clean, comfortable and free of offensive odors?
Rarely
Sometimes
Always

When you arrive for an appointment are you and your pet greeted and made to feel welcome?
Rarely
Sometimes
Always

When you have an appointment are you seen at your scheduled time or acceptably close to it?
Rarely
Sometimes
Always

If you had an unsatisfactory experience when arriving to our office please share your comments below

Do the Doctor and Nurses spend enough time discussing your pet's medical needs & options available?
Rarely
Sometimes
Always

If you had an unsatisfactory experience in the exam room please share your comments below

During check out are you treated with courtesy and respect?
Rarely
Sometimes
Always

During check out are you asked if you have any questions, and if so are they answered completely?
Rarely
Sometimes
Always

During check out do you feel the staff is happy to take time to help you?
Rarely
Sometimes
Always

If you had an unsatisfactory experience check out please share your comments below

Overall, how would you rate your experience with our hospital?
Unsatisfactory
Average
Above Average
Superior

Would you recommend our hospital to your family and friends?
No
Yes

Please make any additional comments or suggestions below.


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