Online Survey Name Pet Name How likely is it that you would recommend your provider to a friend or family member? How likely is it that you would recommend your provider to a friend or family member? 1 2 3 4 5 6 7 8 9 10 Overall, how satisfied or dissatisfied were you with your last visit to Pearland Animal Cancer and Referral Center? Overall, how satisfied or dissatisfied were you with your last visit to Pearland Animal Cancer and Referral Center? Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Somewhat satisfied Very satisfied Overall, how would you rate the service you received from the staff at Pearland Animal Cancer and Referral Center? Overall, how would you rate the service you received from the staff at Pearland Animal Cancer and Referral Center? Poor Fair Good Very good Excellent How comfortable was the lobby and waiting area at Pearland Animal Cancer and Referral Center? How comfortable was the lobby and waiting area at Pearland Animal Cancer and Referral Center? Not at all comfortable Not so comfortable Somewhat comfortable Extremely comfortable Very comfortable Overall, how would you rate the care you received from Pearland Animal Cancer and Referral Center? Overall, how would you rate the care you received from Pearland Animal Cancer and Referral Center? Poor Fair Good Very good Excellent How much do you trust the veterinarian and staff to make medical decisions that are in your best interests? How much do you trust the veterinarian and staff to make medical decisions that are in your best interests? Not at all A little A moderate amount A lot A great deal How well did the veterinarian and staff listen to your needs? How well did the veterinarian and staff listen to your needs? Not at all well Not so well Somewhat well Very well Extremely well How well did the veterinarian and staff answer your questions? How well did the veterinarian and staff answer your questions? Not at all well Not so well Somewhat well Very well Extremely well How well did your veterinarian explain your treatment options? How well did your veterinarian explain your treatment options? Not at all well Not so well Somewhat well Very well Extremely well How well did your veterinarian and staff explain your follow-up care? How well did your veterinarian and staff explain your follow-up care? Not at all well Not so well Somewhat well Very well Extremely well How satisfied or dissatisfied were you with the amount of time veterinarian and staff spent with you addressing your needs? How satisfied or dissatisfied were you with the amount of time veterinarian and staff spent with you addressing your needs? Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Somewhat satisfied Very satisfied Do you feel that the fees for service were appropriate for the information, time and care you received? Do you feel that the fees for service were appropriate for the information, time and care you received? Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Somewhat satisfied Very satisfied Would you like Pearland Animal Cancer and Referral Center to contact you regarding your responses in this survey? Would you like Pearland Animal Cancer and Referral Center to contact you regarding your responses in this survey? Yes No Is there anything we could have done to improve your last visit? Submit
