Caseville Small Animal Clinic

Client Satisfaction Questionnaire

At Caseville Small Animal Clinic P.C., we care about pets and their people. We wish to provide you with excellent quality veterinary service in a modern, clean, and caring environment. You can help us in providing for you and your pet’s needs by sharing your comments with us about your expectations regarding veterinary care. By completing this questionnaire, you can take part in our staff meetings and be assured that your comments will be discussed and acted upon. Thank you very much for your time and your thoughts.

Sincerely,
Caseville Small Animal Clinic

Check as many boxes as you feel appropriate.

How Were You Referred To Our Office?

Friend
Neighbor
Drove by
Yellow Pages
Website
Online search (Google, Yahoo, Bing)
Other (please specify)

Our Parking Lot/Grounds:

Adequate parking
Inadequate parking
Clean
Littered or unkempt

Our Waiting Room Was:

Comfortable
Neat and clean
Uncomfortable
Disorderly
Odor-free
Needed odor control
Child-friendly

Our Office Hours Are:

Convenient
Restrictive
Should be open more
I would use later hours (please specify)

How Would You Rate The Educational Material On Our Television?

Excellent
Above Average
Average
Below Average
Poor
I didn’t watch it

Our Website (www.casevillevet.com) Was:

Easy to navigate
Visually appealing
Hard to navigate
Informative
Useful with its content
I didn’t know there was a website

My Last Visit Was:

This week
This year
Within the past 3 years
This was my first visit

Our Receptionist(s):

Stood and greeted you
Were warm and cheerful
Were cold or unfriendly
Gave their undivided attention
Seemed indifferent
Were hospitable
Answered all of my questions
Were polite and friendly
Went over the invoice and gave me a receipt
Offered to help me carry my pet and/or food (if needed)

When You Telephoned:

Your call was answered promptly
There was a long wait for someone to answer
You had trouble getting through
You were placed on hold too long

Your Phone Conversation Was:

Courteous
Hurried
Impolite
Informative
Preoccupied
I did not phone

How Would You Rate Our Receptionist(s):

Excellent
Above Average
Average
Below Average
Poor

Our Technician:

Greeted you warmly
Was gentle with your pet
Seemed proficient
Was knowledgeable
Was a poor communicator
Verified why I came in and the services desired
Was compassionate with my pet
Was compassionate with my me

How Would You Rate Your Experience With Our Technician?

Excellent
Above Average
Average
Below Average
Poor

Which Veterinarian Did You See?

Dr. Carrie Hooper
Dr. Kevin Stachowiak
Temporary/Substitute Doctor

The Veterinarian:

Introduced him/herself with a warm greeting
Listened well to what I had to say
Did not seem interested in what I had to say
Explained the physical exam, diagnosis and treatment well
Left me confused about what was found and how to treat it
Answered any questions I had

The Veterinarian Was:

Professional in manner and appearance
Acceptable in manner and appearance
Inferior in manner and appearance
Good at comforting me and my pet
Insensitive in his/her use of people skills
Compassionate with my pet
Compassionate with my me
Polite and friendly

How Would You Rate Your Experience With The Veterinarian?

Excellent
Above Average
Average
Below Average
Poor

Was Your Waiting Time Reasonable?

Yes No

Did You Understand Our Fees?

Yes No

Do You Feel The Fees Were Reasonable?

Yes No

If you answered negatively or checked “No” to any of the above questions, please discuss below:

If you were our practice manager, what suggestions would you have for improving the office, staff or procedures?

Comments

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