Survey : Questions

1.

In which location were you and your pet seen?

Annapolis

Towson

2.

Which doctor did you see?

Dr. Anders

Dr. Burgess

Dr. Dosch

Dr. Evans

Dr. Kennedy

Dr. Minihan

Dr. Prostredny

Dr. Roa

Dr. Thomas

Dr. Weeren

Other

Comment:
500 characters left.

3.

My most recent visit with the surgery practice (CVSS) was

within the last 7 days

over a week ago but not more than 3 weeks ago

over 3 weeks ago but not more than 8 weeks (2 months) ago

over 2 months ago but not more than 6 months ago

over 6 months ago but not more than a year ago

over a year ago

4.

Please rate the following in relation to your most recent visit with the surgery practice (CVSS)

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I was greeted warmly by the staff at the front desk.
My appointment started within an acceptable time frame.
I felt as though my pet and I were treated compassionately.
The doctor thoroughly explained the diagnosis and treatment plan and answered all of my questions.
The surgery staff were professional and courteous.
Overall, my pet and I received excellent service from CVSS.
Overall, my pet received excellent care from CVSS

5.

How would you rate your overall level of satisfaction with the surgery practice (CVSS)?

Highly satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Highly dissatisfied

6.

How likely are you to continue using CVSS' services?

Very likely

Somewhat likely

Neutral

Somewhat unlikely

Very unlikely

7.

Have you ever recommended the surgery practice (CVSS) to others?

No, never recommended

Have recommended once or twice

Have recommended several times

8.	Do you have any suggestions for improvement of CVSS?
	350 characters left.

9.	Do you have any comments about your experience with CVSS?
	350 characters left.

10.	Your pet's name
	50 characters left.

11.

What species is your pet?

Cat

Dog

12.	Your last name (optional)
	50 characters left.