Customer Satisfaction Survey

Enhancing Your Experience

Thank you for giving us the opportunity to serve you and your pet. To help us maintain and improve our service, please take a moment to complete the following form regarding your most recent experience with Bramer Animal Hospital. Clients who submit a survey and include their name will receive $5.00 off their next visit!

I. Visit Information

Your Name (optional):
Pet's Name (optional):
Date of Service:


II. Ratings

Please rate us on the following items:

The process of making an appointment:
Excellent Very Good Average Fair Poor
Experience with the front desk staff:
Excellent Very Good Average Fair Poor
Experience with the veterinarian:
Excellent Very Good Average Fair Poor
Experience with the technicians:
Excellent Very Good Average Fair Poor
Exiting and fee collection experience:
Excellent Very Good Average Fair Poor
Condition of the facility (cleanliness, odor-free, etc.):
Excellent Very Good Average Fair Poor
Communications with the doctor and staff:
Excellent Very Good Average Fair Poor
Staff concern about me, my pet and our well-being:
Excellent Very Good Average Fair Poor
Please share any comments you feel would help us understand why you rated us as you did:


Please share any comments you feel would help us improve our service to you and your pet:



If you would like the hospital director to contact you regarding your experience please fill in your contact information and the best time and way to contact you (phone number or email address):

 

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