Countryside Veterinary Service - Customer Satisfaction Survey

Thank you for choosing Countryside Veterinary Service. We appreciate the opportunity to give you and your pet the best care. You have chosen a veterinary hospital/grooming facility where we pride ourselves on giving quality service. Our staff is a combination of highly trained professionals and paraprofessionals whose goal is to give you and your special companion the best medical care we are capable of giving.

We look forward to your next visit as we, at Countryside Veterinary Service, hope you will. Again thank you for choosing our facility and if you have any comments or questions, please do not hesitate to call us. We would appreciate it if you would take a minute to fill out this questionnaire, so that we may continue to better serve you!

Sincerely,
The Staff at Countryside Veterinary Service

First Name:
Last Name:
Pets Name:

How were you referred to our office?

Friend
Neighbor
Drove By
Yellow Pages
Web Site
Google/Search Engine
Facebook

Please rate our ability to answer your calls promptly and handle them in a courteous manner?

1 2 3 4 5

Please rate the cleanliness and comfort of our waiting room?

1 2 3 4 5

Please rate your veterinarian's explanation of your pet's problem:

1 2 3 4 5

Please rate your overall experience at Countryside Veterinary Service.

1 2 3 4 5

Would you recommend Countryside Veterinary Service to your friends and family?

Yes No

If no, please explain so we can address the problem and provide you with a better experience on your next visit:

If you'll provide your email address, we'll reward you with occasional news letters about such things as seasonal health concerns or new risks to your pet. You can also friend us on Facebook and receive your updates there.

Email: