Thank you for taking the time to complete our survey.

Form - Survey Form

Name
First Name
Last Name
1. The staff was knowledgeable and courteous when I called. (required)
1 Unsatisfactory
2
3 Acceptable
4
5 Excellent


2. The hospital was clean, odor free, safe and professional in appearance. (required)
1 Unsatisfactory
2
3 Acceptable
4
5 Excellent


3. The staff was knowledgeable and courteous to me and my pet. (required)
1 Unsatifactory
2
3 Acceptable
4
5 Excellent


4. My appointment was seen on time, or at least within an acceptable time frame. (required)
1 Unsatisfactory
2
3 Acceptable
4
5 Excellent


5. The doctor listened to my concerns about my pet, did a thorough exam and explained things clearly (required)
1 Unsatisfactory
2
3 Acceptable
4
5 Excellent


6. The invoicing, payment, and discharging procedure was clear and prompt. (required)
1 Unsatisfactory
2
3 Acceptable
4
5 Excellent


7. I felt that I received value for the fees that I paid. (required)
1 Unsatisfactory
2
3 Acceptable
4
5 Excellent


8. I would recommend Rogers Pet Clinic to others. (required)
1 No
2 Not likely
3 Not sure
4 Likely
5 Very likely


E-Mail Address (required) :
Please comment on any scores less than acceptable.


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