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Customer Satisfaction Survey

Thank you for choosing the Milwaukee Emergency Center for Animals for you pet’s healthcare needs.  We are always striving to better improve our services and we need your feedback to better understand your experience with us.  Please rate your experience and add any comments below.  Thank you for taking the time so we can provide the highest quality care and customer service to you and your pets.

 

   When did you visit us? (Check all that apply)
 
    Mon Tue Wed Thurs Fri Sat Sun
 
    7am-3pm 3pm-11pm 11pm-7am
 
 
   Which MECA Doctor did you see? (Check all that apply)
 
    Dr. Lichtenberger Dr. Jochman Dr. Brdecka Dr. Elliott Dr. Gordon Dr. Hall Dr. Williams
 
 
   How did you find our phone number and/or location?
  
   *If you selected Internet, what Search Engine did you use?
 
____________________________________________________________________________________________________
 
   Please rate the following statements below on a scale from Excellent to Poor:
 
   The overall care & treatment of you pet:
    Excellent Good Average Fair Poor
 
  The manners & friendliness of the staff:
   Excellent Good Average Fair Poor
 
  The doctor's explanation of the diagnosis, prognosis, and treatment:
   Excellent Good Average Fair Poor
 
  The cleanliness & atmosphere of the hospital:
   Excellent Good Average Fair Poor
 
  The waiting time to see the doctor:
   Excellent Good Average Fair Poor
 
  The waiting time to check out:
   Excellent Good Average Fair Poor
 
  Rate your customer service experience with our receptionist(s):
   Excellent Good Average Fair Poor
 
  Rate your customer service experience with our nursing staff:
   Excellent Good Average Fair Poor
 
  Rate your customer service experience with our doctor(s):
   Excellent Good Average Fair Poor
 
  Rate your overall experience with visiting our hospital:
   Excellent Good Average Fair Poor
 
 
  Is there any staff member that you would like to make a comment about?
   
  Staff Comment:
  
  Additional Comments:
  
 
____________________________________________________________________________________________________
 
  (Optional) If you would you like us to contact you about your recent visit, please fill in your information
  below and one of our caring staff members will contact you promptly.
 
  Name:  
 
  Phone #:  
 
  Email:  
 
 
 
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