Hanover Veterinary Hospital - Client Satisfaction Survey
  

Thank you for taking your time to fill out our survey. All information submitted will be confidential, but your opinions and responses will be used to help us maintain a high level of patient care and client satisfaction.

Again, thank you for your time.

Sincerely,

Eric S. Vymyslicky DVM
Hospital Administrator
Hanover Veterinary Hospital
Date of Last Visit:


Invoice/Survey Number (optional)


Name of Most Recent Doctor:


How would you rate the convenience of your appointment time?
- Excellent
- Good
- Fair
- Poor

If you were seen by appointment, were you offered a same-day appointment?
- Yes
- No
- I did not schedule an appointment

How would you rate the friendliness of the front desk staff?
- Excellent
- Good
- Fair
- Poor

How would you rate the professional appearance of the front desk staff?
- Excellent
- Good
- Fair
- Poor

How would you rate the cleanliness and appearance of the waiting area?
- Excellent
- Good
- Fair
- Poor

Once you checked in, how long did you have to wait to be seen by a technician/doctor?
- I was seen before my scheduled time
- I was seen within 5 minutes of my scheduled time
- I waited for 5-15 minutes after my scheduled time
- I waited for more than 15 minutes after my scheduled time

Once in the exam room, how would you rate the friendliness of the technician or assistant?
- Excellent
- Good
- Fair
- Poor

Once in the exam room, how would you rate the professional appearance of the technician or assistant?
- Excellent
- Good
- Fair
- Poor

How well did the exam room technician or assistant answer your questions or address your concerns?
- Excellent
- Good
- Fair
- Poor

How would you rate the doctor's professional appearance?
- Excellent
- Good
- Fair
- Poor

How would you rate the doctor's friendliness and attitude?
- Excellent
- Good
- Fair
- Poor

How well did the doctor listen to you during your exam?
- Excellent
- Good
- Fair
- Poor

How would you rate the overall thoroughness of your pet's physical exam?
- Excellent
- Good
- Fair
- Poor

How would you rate the overall quality of the doctor and staff's recommendations about your pet's health?
- Excellent
- Good
- Fair
- Poor

How would you rate the overall compassion and empathy of the doctor and staff?
- Excellent
- Good
- Fair
- Poor

How would you rate the way in which the doctor and staff handled your pet during your visit?
- Excellent
- Good
- Fair
- Poor

How would you rate the overall fees you were charged for your visit?
- Very High
- Slightly High
- Fair
- Slightly Low
- Very Low

How would you rate the speed of your check-out process?
- Excellent
- Good
- Fair
- Poor

If you were prescribed a medication, food, or supplement, was it in stock?
- Yes
- No
- I was not prescribed any medication, foods or supplements

If you were prescribed a medication, food, or supplement, how long did you have to wait to get your prescription?
- I got my prescription right away
- I had to wait up to 5 minutes
- I had to wait 5-10 minutes
- I had to wait more than 10 minutes

Overall, how would you rate the quality of your recent visit to Hanover Veterinary Hospital?
- Excellent
- Good
- Fair
- Poor

Overall, how would you rate the value of your recent visit to Hanover Veterinary Hospital?
- Excellent
- Good
- Fair
- Poor

How likely would you be to recommend Hanover Veterinary Hospital to a friend or family member?
- Very Likely
- Somewhat Likely
- Somewhat Unlikely
- Very Unlikely

How likely would you be to return to Hanover Veterinary Hospital for your next veterinary visit?
- Very Likely
- Somewhat Likely
- Somewhat Unlikely
- Very Unlikely

What did you like or appreciate the most about your recent visit to Hanover Veterinary Hospital?


What did you dislike about your recent visit to Hanover Veterinary Hospital?


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