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Our Client Questionnaire Form

At Pet Authority Animal Hospital and Animal Hospital of Macomb, we care about pets and their people. We wish to provide you with excellent quality veterinary service in a modern, clean, and caring environment. You can help us in providing for you and your pet’s needs by sharing your comments with us about your expectations regarding veterinary care. Thank you very much for your time and your thoughts.

Sincerely,

Dr. Gloria Williams-Owner

E-mail Address: *
Which one of our locations did you visit? (select)
How would you rate our parking lot/grounds *	Adequate parking Inadequate parking Clean Littered or unkept
How would you rate our waiting room *	Comfortable Neat and Clean Odor-free Needed odor control
Our Office Hours *	Convenient Restrictive Should be open more I would use later hours please specify in comments
The Veterinarian *	Was warm & friendly Listened well to my pet’s present symptoms Didn’t seem interested in what I was saying Seemed in a hurry Described the diagnosis and treatment well Left me confused about how to treat my pet
The Veterinarian Was *	Professional in manner and appearance Inferior in manner and appearance Good at comforting me and my pet Able to make me feel like a friend Insensitive in his/her use of people skills
Our Receptionist(s) *	Stood and greeted you Were warm and cheerful Were cold or unfriendly Seemed indifferent Were hospitable
When You Telephoned *	Your call was answered promptly There was a long wait for someone to answer You had trouble getting through You were placed on hold too long
Your Phone Conversation Was *	Courteous Hurried Impolite Informative
Our Technician *	Greeted you warmly Was gentle with your pet Seemed proficient Was knowledgeable Was a poor communicator
Was your waiting time reasonable? *	Yes No
Did you understand our fees? *	Yes No
Do you feel the fees were reasonable? *	Yes No
If you checked “no” to any of the above questions, please discuss here.
Would you recommend our hospital to others? *	Yes
If you would not recommend our hospital to others, Why

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