Veterinarian Feedback

We are committed to providing the highest level of care to your clients and patients. With that, we’d like to get your feedback so we can continue to improve. We value your opinion and encourage you to please take a few moments to read and respond to the following survey.

Which VERC service did you use? (Select all that apply. Required.)
Emergency + Critical Care
Internal Medicine
Radiology/Ultrasound
Surgery

The reception staff was kind and courteous. (Choose one.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

The referral form and process was clear and easy to complete. (Choose one.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

The initial letter regarding my patient's care was clear and arrived in a timely fashion. (Choose one.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

The staff clearly communicated with me regarding my patient's prognosis and care. (Choose one.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

The discharge letter for my patient was clear and arrived in a timely fashion. (Choose one.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

My patient and client received a high quality of care at VERC. (Choose one.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

I would refer again to VERC. (Choose one.)
Yes
No

If no, why?

Other comments/suggestions for improvement?

Comments

Date of Visit

Pet's Name

Your Name

Your Clinic

Email

Would you like to receive our email newsletter? (Choose one.)
Yes
No

If yes, please provide your email.