Client Survey:


Thank you for giving us the opportunity to serve you. Please help us better meet your needs by taking a moment to complete this questionnaire.

1. Was your call answered promptly?
Yes     No     NA
2. Was our telephone response courteous and helpful?
Yes     No     NA
3. Was our waiting room comfortable and clean?
Yes     No     NA
4. Did your wait before seeing the doctor seem brief?
Yes     No     NA
- If not, how can we improve?
5. Was the veterinary technician helpful and careful with your pet?
Yes     No     NA
6. Was the doctor courteous and genuinely concerned with your pet's health?
Yes     No     NA
7. Did the veterinarian explain your pet's problem clearly and completely?
Yes     No     NA
8. Do you feel your pet received quality professional health care?
Yes     No     NA
9. Did you find the facility clean?
Yes     No     NA
10. If your pet was hospitalized, did the stay seem reasonable for the illness?
Yes     No     NA
11. After a hospital stay, was your pet returned to you clean?
Yes     No     NA
12. Was our payment policy clearly communicated to you?
Yes     No     NA
13. Was the billing presented in adequate detail?
Yes     No     NA
14. Would you recommend our veterinary practice to your friends?
Yes     No     NA
Date service provided:
Your Name (optional):
Your Pet's Name (optional):
Please provide names and comments of staff members you wish to share with our management (positive or negative):
Please offer all other comments you feel will help our practice:

   
Please only hit the "Submit button" once!
Thank you!


 

Leesburg Veterinary Hospital, Ltd.
19463 James Monroe Highway
Leesburg, VA 20175
703-777-3313
Fax: 703-777-3352
Email: info@leesburgvet.com

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