Client Survey

Date *

Name *

Staff Interaction: These questions are for your interaction with the team member whom assisted in your appointment today

Were you asked about your information including address, phone number and email were correct in our system? *

Were you asked about Heartworm, Flea and Tick Prevention? Were you offered more? Was it explained the importance of these products? *

Was your Staff team member personable and friendly? *

Did Staff member read back charges to you when giving your total? *

Doctor Interaction: These questions are for your interaction with the Veterinarian

Date in Heartworm,

Do you feel your pet received a good physical exam? Why or why not? *

Were your questions and concerns for your pet addressed? Were they explained to you in a manner you understood? *

Did the doctor recommend age appropriate blood work, why testing is important, and what we are testing for in a manner that was easily understood? *

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