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How was your experience?

Name

Please rate each of the following:

Ease of the scheduling experience

*

1 stars

2 stars

3 stars

4 stars

5 stars

Appearance and cleanliness of the facility

*

1 stars

2 stars

3 stars

4 stars

5 stars

Friendliness and helpfulness of front desk staff

*

1 stars

2 stars

3 stars

4 stars

5 stars

Friendliness and helpfulness of exam room staff/ veterinarian assistants

*

1 stars

2 stars

3 stars

4 stars

5 stars

Attentiveness of veterinarian

*

1 stars

2 stars

3 stars

4 stars

5 stars

Was the issue you came in for today resolved or was a resolution plan established?

*

1 stars

2 stars

3 stars

4 stars

5 stars

How would you rate your overall experience at [clinic name]?

*

1 stars

2 stars

3 stars

4 stars

5 stars