CROSSROADS PET HOSPITAL

CLIENT SATISFACTION SURVEY

Date Of Your Visit:

Please Indicate How You Would Rate Us Based On A Scale From 1 to 5, Where 5=Excellent And 1=Poor

Professionalism Of Our Staff:

Cleanliness Of Our Lobby and Waiting Area:

Cleanliness of Exam Room:

How satisfied are you with the customer service you received during your visit?

How satisfied are you with the medical services your pet received during your visit?

How long did you have to wait before your pet was seen?

<5 minutes

5-10 minutes

11-15 minutes

>15 minutes

Did you have the opportunity to ask questions about your pet's health?

How useful was the information you received today?

Any addition comments:

Areas in which you believe we could improve: