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Palm Beach Veterinary Specialists Client Survey
1.
Was this your first visit to our practice ?
Yes
No
  • Comment:

  • 500 characters left.
2.
If this is not your first visit, please indicate how many times you have visited our practice ?
1-3
4-6
7-10
10 or More
  • Comment:

  • 500 characters left.
3.
Which best describes your visit to PBVS ?
Referred by our primary veterinarian
Trauma / Critical Care / Emergency
After hours emergency care / our primary vet was not available
Scheduled surgery or hospital stay
Other  
4.
Which specialist(s) have seen your pet ?
Emergency / Critical Care
Surgery
Internal Medicine
Cardiology
Neurology
Oncology & Other specialties
5.
How would you rate your level of satisfaction with us ?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
6.
How would you rate the following aspects of your experience with us ?
 Well Below Average Below Average Average Above Average Well Above Average 
Customer Service
Professionalism
Cleanliness
Cost of Services
Care of your pet
Overall Service
  • Comment:

  • 500 characters left.
7.
If referred by your primary veterinarian or in the event of an emergency, how likely would you be to visit us again ?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
8.
How likely is it that you would recommend our services to a friend or relative ?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
9.
How was your experience with the reception staff ?
Great (They were extremely courteous and professional)
Good (They met my expectations but there is room for improvement)
Fair (They did not meet my expectations)
Poor
  • Comment:

  • 500 characters left.
10.
How was the timeliness of the doctor in returning your calls ?
Great
Good
Fair
Poor
  • Comment:

  • 500 characters left.
11.
Please rate the overall communication during your pets treatment.
 Great Good Fair Poor  
Calls were returned promptly  
I was promptly and properly informed on the care of my pet  
Communication with the Doctor(s)  
Communication with the Nurses(s)  
Explanation of the treatment  
Explanation of the charges and payment options  
Explanation of discharge instructions ( if applicable)  
Explanation of homecare & medications ( if applicable)  
  • Comment:

  • 500 characters left.
12.
Do you have any suggestions for improving our service ?
 

  • 350 characters left.
13.
Palm Beach Veterinary Specialists strives to offer quality care, please share your contact information with us. ( OPTIONAL )
First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code: