Dental work, xray, veterinary clinic
Surgery, surgical, veterinary surgery

CUSTOMER SATISFACTION SURVEY

Our goal is to always offer excellence for you and your pet.
This survey will help us know if there is any way we could improve your experience.
We appreciate the time you are taking to help us.
All surveys received will go in the draw for gift vouchers to the value of $50.00.

1. How long have you been a client here?
1 year or less 2-5 years 5-10 years Long time client
2. What statement best describes your relationship with vet clinics?
I visit infrequently and only when my pet is ill
I visit at least once a year, including annual vaccinations
I visit several times a year including food or flea purchases
I rely on them to manage the well being of my pet at all times.
3. How did you first find out about Veterinary Associates?
Yellow Pages Word of mouth Location Other - please describe
4. What are your expectations about our service when you visit?
5. How well do we meet those expectations?
Exceed Meet Disappointed
Why?
6. Please rate the following on a scale of 1 - 10 (1 poor, 10 excellent)
Facilites Veterinary Staff Support staff
Services we offer Value for money Overall impressions
Comments?
7. How could we improve on your experience with us?
8. Please rate how much the following features in your choice of clinic
(1 being unimportant, 10 being very important)
Convenient location Opening hours Ease of appointments
Friendliness of staff Services offered Clinic Appearance
Rapore with vet How your pet is treated Value for money
9. Is there another feature you consider important?
10. Please rate how important it is that you see the same vet each visit on a scale of 1-10
(1 unimportant, 10 extremely important)
11. What statement best describes your feelings towards us as your clinic?
I don't consider any one clinic as "my clinic"
I use you as my sole clinic but would easily consider changing
I am extremely loyal and would not easily leave
Other clinics - what other clinics??
Why?
12. What extra services would you like us to offer?
13. Please rate the following if you have used them on a scale of 1-10
(1 poor, 10 excellent). You can leave blank if never used.
Puppy pre-school Weight Clinic Weekend Clinic After Hours Service
14. Please rate our newsletter on a scale of 1-10 (1 poor, 10 excellent)
Readability Level of interest Frequency
15. Please rate the following on a scale of 1-10 (1 poor, 10 excellent)
Technical Articles Promotion information Clinic Information
16. What topics would you like included in the newsletter?
17. Do you have any other comments you would like to add to this survey?
18. Would you give us some basic demographical information about yourself?
Number living in household Adult Child (under 15)
Age of main pet owner Under 15 15 - 25 yrs 25-45 yrs 45 yrs plus
Number of Pets Cat Dog Bird Pocket Pet
19. Please enter your details here.
This is optional and will be used only for the purpose of contacting you if you win the prize draw. You may leave this information blank if you prefer
Name
Phone
Email