Veterinary Clinic Feedback Form

Veterinary Clinic Feedback Form — Form Fields

This feedback template includes 9 fields. Feedback form for pet owners to rate their veterinary clinic experience. Covers staff friendliness, wait times, treatment quality, and value. Free to customize and use on ZenBuild.

• Your Name (text, optional)
• Pet's Name & Type (text, optional)
• Reason for Visit (dropdown selection, required) — options: Routine checkup / vaccination, Illness or injury, Surgery, Dental cleaning, Emergency
• Friendliness and compassion of staff (rating, required)
• Wait time and scheduling experience (rating, required)
• Quality of care and treatment (rating, required)
• Clarity of diagnosis and aftercare instructions (rating, required)
• Was the pricing fair and transparent? (multiple choice, required) — options: Yes, very transparent, Mostly fair, Some unexpected charges, Too expensive
• Additional comments or suggestions (long text, optional)