Carrie Williams, DVM

Client Survey

We at Cornerstone Veterinary Clinic are always looking for ways to improve our products and services we offer you.  Your suggestions, ideas, and comments are always welcome.

Form - Client Feedback Form

Name
First Name
Last Name
Address
Street Address
City
State/Province
Zip/Postal Code
,
Phone
Phone TypePhone Number
E-Mail Address :
How did you choose our office?
(Choose one)
Referred by friend/relative
Yellow Pages
Newpaper ad
I drove by
Other


When calling our office, is the reception staff professional, courteous, and knowledgeable?
(Choose One)
Rarely
Sometimes
Always


When arriving at our office, is the reception staff warm, professional, & friendly to you & your pet
(Choose One)
Rarely
Sometimes
Always


When you have an appointment, are you seen at your scheduled time or acceptably close to it?
(Choose One)
Rarely
Sometimes
Always


Is the reception area clean, comfortable, & free of offensive odors?
(Choose One)
Rarely
Sometimes
Always


Do the Doctors & Nurses spend enough time discussing your pet's medical needs & options available?
(Choose One)
Rarely
Sometimes
Always


During check out, do you understand what was done for you pet & the value in the money you spent?
(Choose One)
Rarely
Sometimes
Always


Is our hospital open at convenient times to fit your needs?
(Choose One)
Not Convenient
Somewhat
Very Convenient


How likely are you to recommend our clinic to family or friends?
(Choose One)
Rarely
Sometimes
Always



The verification code below ensures the form is not submitted by a computer
Verification Code :
Enter the code you see in the graphic below in this box.
Your post will not be allowed if you do not type this in correctly.