1. Do you receive a warm greeting from our staff when you enter our practice?

Always
Often
Sometimes
Never

2. Are your calls returned promptly when you leave a telephone message for one of our staff?

Always
Often
Sometimes
Never

3. Are you able to schedule appointments at the times most convenient to you?

Always
Often
Sometimes
Never

4. Do you find our facility's appearance to be neat and clean?

Always
Often
Sometimes
Never

5. Is your waiting time reasonable?

Always
Often
Sometimes
Never

6. Do you find our pricing reasonable/competitive?

Always
Often
Sometimes
Never

7. How long have you been a client of Storybook Farm Veterinary Hospital?

1st Visit
Less than 1 year
1-5 years
6-10 years
11-15 years
over 15 years

8. What type of pets are part of your family? Select all that apply.

Dog(s)
Cat(s)
Bird(s)
Rabbit(s)
Ferret(s)
Reptile(s)
Turtle(s)
Other Exotic Animal(s)

9. Would you refer other pet owners to our practice?

Yes
No

10. In what ways could we better serve your needs? Please include any suggestions you have for our services, hours, or facility.

May we contact you about your suggestions?

Yes, via phone
Yes, via email
I prefer not to be contacted

First Name

Last Name

Contact Phone Number (optional)

Email (optional)