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2225 Drane Field Road Lakeland, FL 33811
863-646-3669
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About Us
Our Staff
Tour The Hospital
Boarding Requirements
AAHA Accreditation
Careers
Frequently Asked Questions
Services
Integrative Veterinary Medicine
Pet Microchipping
Tibial Tuberosity Advancement (TTA)
Community
My Pet’s In the News
Hope Fund
MPAH Kids
Retired K-9 Care Program
More +
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Ask About Our Annual Wellness Plans
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Silly on a Monday
Fun Facts About Cats and Dogs!
Home
About Us
Our Staff
Tour The Hospital
Boarding Requirements
AAHA Accreditation
Careers
Frequently Asked Questions
Services
Integrative Veterinary Medicine
Pet Microchipping
Tibial Tuberosity Advancement (TTA)
Community
My Pet’s In the News
Hope Fund
MPAH Kids
Retired K-9 Care Program
More +
Blog
Consumer Alerts
Gallery
Mobile App
MyPets TV
Resources
Client Forms
Client Surveys
Rescue / Adoption
Contact
2225 Drane Field Road Lakeland, FL 33811
Pet Boarding Survey
Name
Pet's Name
Email
Phone Number
May we contact you with any concerns?
No
Yes
Please rate our reception area on a scale of 1 to 5.
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
While you were there how was the reception area? Check all that apply.
Comfortable
Uncomfortable
Clean
Messy
Odor-free
Smelly
Loud
Quiet
I didn't notice
Are the office hours convenient for you?
No
Yes
Was your call answered promptly?
No
Yes
Where you kept on hold for longer than 2 minutes?
No
Yes
Was the receptionist polite and friendly?
No
Yes
On a scale from 1 to 5 please rate the receptionist.
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
Please tell any other comments or concerns about reception.
On a scale of 1 to 5 how would you rate our boarding facility?
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
Were you able to make the reservations that you needed?
No
Yes
Was your pet returned to you clean, happy and free of parasites?
No
Yes
Let us know any other comments, concerns or changes we can make to our boarding service.
Was there an employee that went above and beyond to make your visit to MyPet's more enjoyable?
Would you refer us to your friends and family for their pet care?
No
Yes
Are there any services we could provide to make you and your pet's day better?
Type the numbers.
CLOSE
Pet Grooming Survey
Name
Pet's Name
Email
Phone Number
May we contact you with any concerns?
No
Yes
Please rate our reception area on a scale of 1 to 5.
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
While you were there how was the reception area? Check all that apply.
Comfortable
Uncomfortable
Clean
Messy
Odor-free
Smelly
Loud
Quiet
I didn't notice
Are the office hours convenient for you?
No
Yes
Was your call answered promptly?
No
Yes
Where you kept on hold for longer than 2 minutes?
No
Yes
Was the receptionist polite and friendly?
No
Yes
On a scale from 1 to 5 please rate the receptionist.
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
Please tell any other comments or concerns about reception.
Were you able to get a grooming appointment when you needed it?
No
Yes
Was your pet groomed the way you had requested?
No
Yes
Was your grooming completed when anticipated?
No
Yes
Were you called after the grooming was completed to schedule a pickup time?
No
Yes
On a scale of 1 to 5 how would you rate our grooming services?
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
Any other comments or concerns about our grooming services?
Was there an employee that went above and beyond to make your visit to MyPet's more enjoyable?
Would you refer us to your friends and family for their pet care?
No
Yes
Are there any services we could provide to make you and your pet's day better?
Type the numbers.
CLOSE
Pet Exam Survey
Name
Pet's Name
Email
Phone Number
May we contact you with any concerns?
No
Yes
Please rate our reception area on a scale of 1 to 5.
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
While you were there how was the reception area? Check all that apply.
Comfortable
Uncomfortable
Clean
Messy
Odor-free
Smelly
Loud
Quiet
I didn't notice
Are the office hours convenient for you?
No
Yes
Was your call answered promptly?
No
Yes
Where you kept on hold for longer than 2 minutes?
No
Yes
Was the receptionist polite and friendly?
No
Yes
On a scale from 1 to 5 please rate the receptionist.
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
Please tell any other comments or concerns about reception.
In the exam room was the assistant polite and friendly?
No
Yes
Was the exam assistant helpful and knowledgable?
No
Yes
Did the exam assistant follow through with your requests?
No
Yes
On a scale of 1 to 5 how would you rate the exam room assistant overall?
1 - Poor
2 - Fair
3 - Just OK
4 - Good
5 - Excellent
Tell us any other comments or concerns about your exam experience.
Was your doctor polite and friendly?
No
Yes
Did your doctor discuss any problems or concerns with you?
No
Yes
Did your doctor spend enough time answering your questions?
No
Yes
Who was the doctor you saw on your visit?
Dr. Donna McWilliams
Dr. Mark Downing
Dr. Erin Rothrock
Let us know any other comments or concerns about your doctor.
Was there an employee that went above and beyond to make your visit to MyPet's more enjoyable?
Would you refer us to your friends and family for their pet care?
No
Yes
Are there any services we could provide to make you and your pet's day better?
Type the numbers.
CLOSE
DayCamp, SpaDays & Vacation Boarding Express Check In Form
*
First Name
*
Last Name
*
Pet's Name
*
What time will your pet be picked up?
*
Home Phone Number
Cell Phone Number
*
What is your pet's regular diet?
Do you plan to bring your pet's food?
Yes
No
What medications do you give your pet and at what times?
What additional services would you like done before your pet leaves?
Bath
Nails Trimmed
Anal Glands expressed
Other
If other, please describe below:
Are there any other concerns or issues that you would like the doctor to evaluate?
Type the numbers.
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Change of Address Form
*
First Name
*
Last Name
*
Email
Current home phone number
Current Cell Phone Number
Current Work Phone Number
Current Street Address
Current City
Current State
Current Zip Code
New Home Phone Number
New Cell Phone Number
New Work Phone Number
New Street Address
New City
New State
New Zip Code
Type the numbers.
CLOSE
New Client Form
*
First Name
*
Last Name
*
Address 1
*
Address 2
*
City
State
*
Zip Code
Drivers License Number
State License Issued in
Phone Number
Cell Phone Number
*
Email
Employer
Work Phone Number
Emergency Contact Name
Emergency Contact Phone
*
Pet's Name
Pet's Breed
Pet's Birthdate
Sex
Female
Female Spayed
Male
Male Neutered
Pet's Color
Your Pet's Microchip Number
If we are seeing more than one pet please list them below.
How did you hear about us?
Brochure/Newsletter
Friend/Referral
Website
Driving By
Shelter Referral
Coupon
Yellow Pages
Other
I would like more information on the following.
Boarding
Grooming
Wellness Package
Senior Pet Care
Flea Control
Dental Care
Diet Recommendations
Type the numbers.
CLOSE
