Client Survey

Date: 18 May 2012 Time: 15:03:37

Thank you for entrusting Cape Animal Referral and Emergency Center (CARE) with your pet's health care. We encourage you to take the time to complete this survey. We value your opinion about your recent experience. Our goal is to constantly improve our facility and maintain a compassionate and professional environment.

My pet was recently seen by Dr.

Reason(s) for your visit to Cape Animal Referral and Emergency Center:

Surgery

Veterinary Rehabilitation

Emergency Medicine

Oncology

Cardiology

Ophthalmology

Physical Therapy/Rehabilitation

Ultrasound

1. The receptionists were helpful and friendly during my visit

Yes

No

2. The nurses were helpful and friendly during my visit

Yes

No

3. The veterinarians treated my pet with gentleness and kindness

Yes

No

4. The fees were explained accurately, thoroughly and professionally

Yes

No

5. The overall experience I had at Cape Animal Referral and Emergency Center was excellent

Yes

No

Would you return to Cape Animal Referral and Emergency Center?

Yes

No

If you responded "No", please explain why:

Would you recommend Cape Animal Referral and Emergency Center to your family and friends?

Yes

No

If you responded "No", please explain why:

What suggestions would you have for improving our hospital:

Other Comments:

OPTIONAL (If you would like us to contact you regarding this survey)

Date of Visit:

Pet's Name:

Your Name:

Phone Number:

The staff at Cape Animal Referral and Emergency Center (CARE) would like to thank you for taking the time to fill out this survey.