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Newtown Center Pediatrics would like your feedback!
By sharing your thoughts and feelings, you can help improve the care we provide. Please complete the survey based on your child's recent visit.
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Email
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Your email
Wait time at our office
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Very Good
Good
Fair
Poor
Very Poor
Ease of scheduling your child's appointment
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Very Good
Good
Fair
Poor
Very Poor
Ease of contacting (e.g., email, phone, portal) the office
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Very Good
Good
Fair
Poor
Very Poor
How well the nurse listened to you regarding your child
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Very Good
Good
Fair
Poor
Very Poor
Concern the nurse showed for your child's problem
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Very Good
Good
Fair
Poor
Very Poor
Concern the care provider (DR, APRN or PA) showed for your questions or worries about your child
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Very Good
Good
Fair
Poor
Very Poor
Explanations the care provider gave you about your child's problem or condition
Very Good
Good
Fair
Poor
Very Poor
Clear selection
Care provider's discussion of any proposed treatment (options, risks, benefits, etc.)
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Very Good
Good
Fair
Poor
Very Poor
Likelihood of your recommending this care provider to others
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Very Good
Good
Fair
Poor
Very Poor
How well the staff worked together to care for your child
*
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Good
Fair
Poor
Very Poor
Patient's Name: (optional)
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