Client Survey

St. Joseph Animal Wellness Clinic, PC

2610 N Trail Ln
Saint Joseph, MI 49085

(269)429-6966

www.sjvet.com

Client Visit Survey Form

Name

First Name	Last Name

E-Mail Address :

We appreciate your business at St. Joseph Animal Wellness Clinic and value your suggestions for improvement. Please take a few moments to fill out our survey.

Please give the reason for your recent visit:

Wellness Exam
Sick Pet
Vaccine Only
Recheck
Emergency
Other

Please rate the following questions:

I received an appointment that was convenient for me
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

The receptionist was friendly and acknowledged me immediately
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

The veterinary assistant was friendly
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

The veterinary assistant was knowledgeable
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

Did you feel that the doctor understood and addressed the needs of your pet?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied
Not applicable

Did you feel that the doctor explained in a clear way the pets’ condition, treatment method, and how to administer medication as well as follow up care?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied
Not applicable

My pet received exceptional care
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

The staff cares about my pet
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

How satisfied are you with the clinics cleanliness and appearance?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

How satisfied are you with the cost of service for the value you and your pet have received?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied

What can we do to improve our services for you?

If one of our team members provided exceptional care today, please let us know so that we may recognize that person:

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2610 N Trail Ln
Saint Joseph, MI 49085

(269) 429-6966

Fax (269) 645-6100

Contact Us!