This veterinary client satisfaction survey template gathers feedback from pet owners after a clinic visit with 5 questions that cover the whole experience, from how the vet communicated to how likely owners are to recommend you. It prints on a single sheet and takes about two minutes to complete.
What this survey measures
The rating grid captures how clearly the vet explained your pet's condition, whether the animal was handled with care and compassion, how well owners understood treatment options and costs, the cleanliness and welcome of the clinic, and whether booking and follow-up met expectations. A likelihood-to-recommend question gives you a single score to track over time, a reason-for-visit question lets you segment responses, and an open comment box captures anything the fixed questions miss.
How to use it on paper
Hand the survey to owners at checkout or leave copies in the waiting room with a drop box at the front desk. Owners fill the checkboxes with a blue or black pen. Collect the completed forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and converts the handwritten comments to text automatically, so results appear in your dashboard without any manual data entry.
Customize this template
Add your clinic logo, reword the statements to match your services, or add questions about specific departments like grooming or boarding. The paper layout reflows automatically as you edit, and every copy you print stays scannable.
Preview the PDF above, or use this template to start collecting client feedback today.