Customer Satisfaction Survey
Thank you for using Aloe Veterinary Clinic. To help us maintain a high quality of service, please provide us with feedback by filling in the information below.
Date of Visit (MM/DD/YYYY)
Was this your first visit to this store?
Yes
No
Which receptionist served you?
Gail
Angelique
Rozane
Cheryl
Not sure
Please choose the best answer for each of the following.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The staff was friendly
The staff was eager to help
The staff was polite
The store was clean
The store was well organized
The store was well stocked
The store felt safe
Of the item(s) you were shopping for, how many were you able to find?
All of the items
Most of the items
A few of the items
None of the items
I wasn't looking for anything specific
Please list any brands or items that you were unable to find or would like to see us carry.
Overall, how satisfied were you with your visit?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
How likely are you to use Aloe Veterinary Clinic again?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Comments or Suggestions
Optional:
First Name
Last Name
Phone
Email Address
*
Indicates Response Required
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