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Questionnaire template

Veterinary Clinic Visit Feedback

Pet owners rate their latest veterinary visit: services received, staff, facility, booking, prices and areas to improve.

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Other · Pets. All Other templates

Questions in this template

Your Recent Visit

  1. Thank you for bringing your pet to us. A few minutes of your feedback helps us look after animals and their owners better.

  2. When did you last visit the clinic?

    Choose one from a list:

    • In the past week
    • Between one week and one month ago
    • Between one and three months ago
    • More than three months ago
  3. What did your pet receive at that visit? Select all that apply.

    Choose any that apply:

    • Routine health check
    • Vaccination
    • Treatment for illness or injury
    • Surgery
    • Dental care
    • Other
  4. Which other service did your pet receive?

    Condition: Shown when Other was selected

    Open answer

Quality of Service

  1. Thinking about that visit, how satisfied were you with each of the following?

    • Professional conduct of the staff
    • Cleanliness of the clinic
    • How clearly the vet explained things
    • Ease of booking an appointment
    • Prices

    For each row: choose one:

    • Very dissatisfied
    • Dissatisfied
    • Neutral
    • Satisfied
    • Very satisfied
  2. Which of these areas, if any, should we improve? Select all that apply.

    Choose any that apply:

    • Routine health checks
    • Vaccinations
    • How staff treat clients and pets
    • Booking appointments
    • Prices
    • Nothing needs improving
  3. What should we change in the areas you selected? (optional)

    Condition: Shown when at least one area was selected

    Open answer

Your Suggestions

  1. Is there anything else you would like to tell us about our services?

    Open answer

About You

  1. What is your gender?

    Choose one:

    • Female
    • Male
    • Another gender
    • Prefer not to say
  2. What is your age group?

    Choose one:

    • Under 25
    • 25-34
    • 35-44
    • 45-54
    • 55-64
    • 65 or older