Referring Veterinarian Survey

Date: 08 Sep 2010 Time: 6:29:49

Thank you for entrusting Cape Animal Referral and Emergency Center (CARE) with the care of your clients and patients 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.

Your client was recently seen by Dr.

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

Surgery

Internal Medicine

Emergency Medicine

Cardiology

Ophthalmology

Exotics

1. My interaction with the receptionist on the telephone was helpful and friendly

Yes

No

2. I received a letter informing me of my patient's hospitalization upon admission

Yes

No

3. The veterinarians communicated effectively with me on the care of my patient

Yes

No

4. The veterinarians/nurses were accessible to me for questions and updates

Yes

No

5. The veterinarian sent me a discharge letter in a timely fashion

Yes

No

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

Yes

No

Would you refer a client to Cape Animal Referral and Emergency Center again?

Yes

No

If you responded “No”, please explain why:

What suggestions would you have for improving our hospital:

Other Comments:

Date of Visit:

Pet's Name (optional):

Name (optional):

Phone Number (optional):

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