Survey

We hope your experience has been pleasant and that we exceeded your expectation. Our goal is to provide you with the best service possible. We are always looking for new ways to improve our service. You, the customer, are the best source of information and your opinion is very important. Please answer the following questions and let us know your experience with the service you received and how we could provide you with better service in the future.

Companion Animals: 1318 Iron Springs Road Prescott, AZ 86305 • 928-445-2190 Fax: 928-445-1491

Equine Center: 2611 Avenger Road Prescott, AZ 86301 • 928-776-PONY (7669) Fax: 928-442-2497

Exposure to Prescott Animal Hospital
Was this your first time as a patient at Prescott Animal Hospital? Yes No
Has one of your relatives or friends ever been a patient in this hospital? Yes No

How did you select Prescott Animal Hospital?
Refferal from a Client
Refferal from another Animal Hospital
Location
Previous personal care
Emergency brought me here
Other

What was the nature of your visit?
Outpatient Appointment
Pet Hospitalized

Prescott Animal Hospital has the
  Strongly Agree | Strongly Disagree
Highest quality doctor staff in the area... +3 +2 +1 0 -1 -2 -3
Highest quality technical staff in the area... +3 +2 +1 0 -1 -2 -3
Most up-to-date medical equipment and facilities in the area... +3 +2 +1 0 -1 -2 -3

DURING THE REGISTRATION PROCESS
  Strongly Agree | Strongly Disagree
The receptionest who handled my appointment was polite and friendly... +3 +2 +1 0 -1 -2 -3

Hospital Staff
  Strongly Agree | Strongly Disagree
My doctors were skilled and experienced...
My doctor was kind and caring...
The technitions were skilled in the treatment they provided for my pet...
The technitions or receptionest were responsive when I called...
Tests and procedures were completely explained to me...

How important are each of the following reasons why you chose Prescott Animal Hospital.
LOCATION? Extremely Important Very Important Relatively Important Somewhat Important Not Important
Family/Friend's recommendation? Extremely Important Very Important Relatively Important Somewhat Important Not Important
Past Experience? Extremely Important Very Important Relatively Important Somewhat Important Not Important
Cost? Extremely Important Very Important Relatively Important Somewhat Important Not Important

Overall level of satisfaction with the medical care received at Prescott Animal Hospital
Level of Service
Excellent Medical Care
Very Good Medical Care
Satisfactory Medical Care
Poor Medical Care
Unacceptable Care (explain)

Please indicate if you chose Prescott Animal Hospital because of a specific service offered..
No
Yes (Specify Service)

If I were to describe my experience to the Administrator of Prescott Animal Hospital, I would say...

Additional Comments: