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Feedback Form

We value your feedback and would like to know if you are happy with the service you have received. If you are not satisfied with our customer service, products, or an aspect of the way we conduct our clinic, we would like you to tell us so that we can improve.

Please use the following form to give us your thoughts on your experience with East Bentleigh Animal Care.

 

Was this your first time visiting our clinic?
Yes
No

How did you first find out about East Bentleigh Animal Care?
A friend/relative referred me
Yellow Pages
Internet
Letterbox brochure
Other

If you selected "Other", please enter how you found us here:

Date of your most recent visit: Day Month Year

How many minutes did you wait after your scheduled appointment time before you were called to your pet's examination?



The reason for this most recent visit:
Annual Health Check
Health Concern
Emergency Visit
Follow-Up/Recheck
Other

If you selected "Other", please enter the reason here:


On a scale of 1 (Poor) to 5 (Excellent) please rate the following items:
ITEM 1 2 3 4 5
Reception / Sign In
Helpfulness of the Nurse at the reception desk:
Appropriateness/comfort of the waiting area:
Waiting time at the reception desk:
Ease of checking in and checking out of appointment:

Your Pet's Examination
Confidence in the Veterinarian:
Friendliness of the Nurse:
Skill/helpfulness of the Nurse:
Vet's/Nurse's concern for your pet's comfort:
Friendliness of the Veterinarian:
Value received for money spent:

Facility
Parking/Outside Lighting:
Cleanliness of the Facility:
Ease of access, both inside and outside:

Overall Assessment
Overall rating of the care you received during your visit:
Overall knowledge and skill level of our staff:
Likelihood of you recommending our facility to others:

Please add any additional comments or suggestions below. We value your comments. They are vital to providing the services you desire with the medical care your pet needs.



Other Services - Please check all that apply:

I was aware that I could receive my pet's annual reminders by email as well as by regular mail.
I was aware that appointments can be scheduled until as late as 7:00 PM every weeknight.
I find the website helpful and informative.

I learned more about East Bentleigh Animal Care's services when I was there during my last visit by: 
Picking up a clinic brochure.
Asking the nurse questions.
Asking the veterinarian during my appointment.

 
Other Comments - Feel free to enter them here: