24-HR ER: 808-735-7735
Our Services
Cardiology
Diagnostic Imaging
Emergency/Critical Care
Internal Medicine
Interventional Radiology
Neurology
Oncology
Physical Therapy & Rehabilitation
Surgery
For Your Pet
Emergencies + Appointments
When Your Pet is a Patient
Client Portal
Pet Insurance
Payment Options
Grief Resources
Animal Blood Bank of Hawaii
Clinical Studies
FAQs
For Veterinary Teams
Our Referral Process
Submit Referrals
At a Glance
Ethos Materials for Clinics
Continuing Education
VetBloom CE
Clinical Studies
Animal Blood Bank of Hawaii
About Us
Our Hospital
Our Team
Why Ethos
Ethos Discovery
Contact Us
Blogs
Our Blogs
PAWEDcasts
Careers + Development
VERC is Hiring
Positions Across Ethos
Benefits and Perks
Veterinary Training Programs
Our Services
Cardiology
Diagnostic Imaging
Emergency/Critical Care
Internal Medicine
Interventional Radiology
Neurology
Oncology
Physical Therapy & Rehabilitation
Surgery
For Your Pet
Emergencies + Appointments
When Your Pet is a Patient
Client Portal
Pet Insurance
Payment Options
Grief Resources
Animal Blood Bank of Hawaii
Clinical Studies
FAQs
For Veterinary Teams
Our Referral Process
Submit Referrals
At a Glance
Ethos Materials for Clinics
Continuing Education
VetBloom CE
Clinical Studies
Animal Blood Bank of Hawaii
About Us
Our Hospital
Our Team
Why Ethos
Ethos Discovery
Contact Us
Blogs
Our Blogs
PAWEDcasts
Careers + Development
VERC is Hiring
Positions Across Ethos
Benefits and Perks
Veterinary Training Programs
24-HR ER: 808-735-7735
Client Feedback Form
Client Feedback
We are committed to providing the highest level of care to you and your pet. Please help us address concerns and continue to improve.
Which VERC service did you use? Select all that apply.
*
Emergency/Critical Care
Cardiology
Diagnostic Imaging
Internal Medicine
Interventional Radiology
Surgery
Oncology
My pet received high quality care at VERC.
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The reception staff was kind and courteous.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The registration form and process was clear and easy to complete.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The wait to see the veterinarian was reasonable.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The staff clearly communicated with me regarding my pet's prognosis and care.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The staff was accessible for questions after I went home.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
Was there a staff member who was particularly helpful?
Yes
No
If you answered yes, what was their name?
I would return or refer a friend to VERC
Yes
No
Please help us improve. If you said no, can you describe your reasons?
The waiting area and exam rooms were clean and comfortable
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
Please help us improve. If you disagreed with the statement, can you describe your experience?
Comments/Suggestions for Improvements
Related Patient Information
Date of Visit/Referral
Patient's Name
*
Your Name
*
Family Veterinarian Name or Clinic Name
*
Your Email
Phone
This field is for validation purposes and should be left unchanged.
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