Patient Survey
Please fill out the following survey regarding your visit to Village Point or Dundee Pediatrics. We would love to hear your feedback!
Appointment Information
Which provider did you see? *
General Information
It was easy was to schedule an appointment with our facility. *
Strongly Disagree
Strongly Agree
How long did you wait (beyond your appointment time) to be seen by the provider? *
The professional or technical skills of the following staff were thorough, personable, and competent.
Phone/Appointment Scheduling *
Strongly Disagree
Strongly Agree
Reception *
Strongly Disagree
Strongly Agree
Nurse *
Strongly Disagree
Strongly Agree
Physician *
Strongly Disagree
Strongly Agree
Overall Information
My visit was thorough and I had the opportunity to have all of my questions and concerns addressed. *
Strongly Disagree
Strongly Agree
How satisfied are you with the cleanliness and appearance of our facility? *
Very Unsatisfied
Very Satisfied
How likely are you to recommend our facility to a friend or family member? *
Very Unlikely
Very Likely
How would you rate your satisfaction with your overall experience at Village Pointe or Dundee Pediatrics? *
Very Unsatisfied
Very Satisfied
If you have any specific comments or concerns, please feel free to list them below.
Your answer
Please leave your contact information if you would like a staff member to contact you regarding your concerns.
Your answer
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