Pirate Pediatrics Survey
We want to hear from you! Please tell us about your experience at Pirate Pediatrics.
Email address *
Is Pirate Pediatrics where you usually visit when your child needs a check-up, has a health problem, or gets sick or hurt? *
How long has your child been going to Pirate Pediatrics? *
In the last 6 months, how many times did your child visit Pirate Pediatrics for care? *
In the last 6 months, did you contact Pirate Pediatrics to get an appointment for your child for an illness, injury, or condition that needed care right away? *
In the last 6 months, did you make any appointments for a check-up or routine care for your child at Pirate Pediatrics? *
In the last 6 months, if you contacted Pirate Pediatrics to get an appointment for care your child needed right away, how often did you get an appointment as soon as your child needed? *
In the last 6 months, if you made an appointment for a check-up or routine care for your child with this provider, how often did you get an appointment as soon as your child needed? *
In the last 6 months, did you contact Pirate Pediatrics with a medical question about your child during regular office hours? *
In the last 6 months, how often were receptionists at Pirate Pediatrics as helpful as you thought they should be? *
In the last 6 months, how often did receptionists at Pirate Pediatrics treat you with courtesy and respect? *
In the last 6 months, how often were medical assistants at Pirate Pediatrics as helpful as you thought they should be? *
In the last 6 months, how often did medical assistants at Pirate Pediatrics treat you with courtesy and respect? *
Using a number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate Pirate Pediatrics? *
In general, how would you rate your child's overall health? *
In general, how would you rate your child's overall mental or emotional health? *
How are you related to the child? *
Submit
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms