Date of visit:

How did you choose our clinic?

When you telephoned, your call was answered promptly: Choose One: Yes No N/A

Comments:

The parking lot/grounds were clean and well maintained: Choose One: Yes No N/A

Comments:

The reception area was clean, comfortable and odor-free: Choose One: Yes No N/A

Comments:

A staff member greeted me cheerfully and was hospitable and attentive: Choose One: Yes No N/A

Comments:

The doctor has a good bedside manner and answered all of my questions: Choose One: Yes No N/A

Comments:

The doctor explained exam and treatment procedures clearly: Choose One: Yes No N/A

Comments:

Prices were worth the services and treatments performed: Choose One: Yes No N/A

Comments:

If you left your pet at the clinic, he/she was clean when ready to go home: Choose One: Yes No N/A

Comments:

After my visit, my bill was processed promptly and efficiently: Choose One: Yes No N/A

Comments:

Were there any staff members we may thank for being particularly helpful?

How may we improve your next visit?

What will you tell your friends about All Creatures?

On a scale of 1 to 10 (with 10 being excellent), how would you rate us overall? Choose One: 1 2 3 4 5 6 7 8 9 10

Would you like to be contacted regarding this survey? Choose One: Yes No

If yes, please provide contact information here: