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Veterinary Clinic Evaluation Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
How would you rate the cleanliness of our clinic?
Please select the option that best represents your opinion.
Excellent
Good
Average
Poor
2
On a scale of 1 to 10, how satisfied are you with the friendliness of the staff?
Please rate from 1 to 10, where 1 is very dissatisfied and 10 is very satisfied.
3
What improvements would you suggest for our clinic?
Please provide your feedback in the text box below.
4
Did you find the waiting time acceptable?
Please select Yes or No.
Yes
No
5
Would you recommend our clinic to others?
Please select Yes or No.
Yes
No
6
How well did the veterinarian address your concerns?
Please rate from 1 to 5, where 1 is not well at all and 5 is extremely well.
7
Which of the following services did you use during your visit?
Please select all that apply.
Consultation
Vaccination
Surgery
Grooming
Boarding
8
Were you provided with clear instructions on post-treatment care for your pet?
Please select Yes or No.
Yes
No
9
How likely are you to return to our clinic for future pet care needs?
Please rate from 1 to 10, where 1 is very unlikely and 10 is very likely.
10
Is there anything else you would like to share with us?
Feel free to provide any additional comments or suggestions.
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