The Pediatric Center customer satisfaction survey
Your opinions are important to us. Please take a few moments to fill out this confidential survey so we know what we are doing well and what we can do better.
Untitled Title
Ease of reaching the office by phone
very dissatisfied
very satisfied
The time between your call to schedule an appointment and your appointment time
very dissatisfied
very satisfied
Your wait time in the waiting room
very dissatisfied
very satisfied
Your wait time in the exam room
very dissatisfied
very satisfied
Convenience of our office hours
very dissatisfied
very satisfied
How satisfied were you with the way your were treated by the receptionist at your most recent visit?
very dissatisfied
very satisfied
How satisfied were you with your physician's , nurse practitioner's or physician assistant's explanation of your child's health condition?
very dissatisfied
very satisfied
How satisfied were you with your physician's, nurse practitioner's, or physician assistant's personal manner(friendliness, respect, sensitivity)?
very dissatisfied
very satisfied
How satisfied were you with your interaction with the check out clerk?
very dissatisfied
very satisfied
How satisfied were you with your interaction with the nursing staff?
very dissatisfied
very satisfied
How satisfied were you with our staff's interaction with your child?
very dissatisfied
very satisfied
How satisfied were you with the overall cleanliness and comfort of the office?
very dissatisfied
very satisfied
Would you recommend the Pediatric Center to family and friends
What do you like best about the Pediatric Center?
Your answer
What can we do to improve
Your answer
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