All of us at Middleboro Pediatrics are committed to a continuous effort to improve not only the quality of the medical care we provide, but how well we provide that care. This requires knowing where to direct our attention and efforts.

Please help us improve our services to you by filling out this survey honestly and to the best of your ability. The survey is completely anonymous unless you would like to discuss your comments with us and indentify yourself. Thank you for your help.

* 1. Which doctor or nurse practitioner did you or your child see during your most recent visit in the office?

* 2. What was the reason for your visit ?

* 3. Was the office staff as helpful as you think they should be and did they treat you with courtesy and respect ? Please provide comments below.

* 4. Did your child see his/her regular doctor or nurse practitioner?

* 5. Did the doctor or nurse practitioner seem to have all the important information about your childs medical history available ? Please provide comments below.

* 6. How would you rate the doctor or nurse practioner's knowledge about your child as a person ( special abilities, concerns, fears ) ? Please provide comments below.

* 7. Did the doctor or nurse practitioner listen carefully to you and your child and explain things in a way that was easy to understand ? Please provide comments below.

* 8. If your child had a health problem, did the doctor or nurse practitioner give you clear instructions about what to do if symptoms got worse or came back ? Please provide comments below.

* 9. Did the doctor or nurse practitioner spend enough time with you and your child and show respect for what you and your child had to say ? Please provide comments below.

* 10. Please explain your overall experience to our office ?

* 11. Did you have an opportunity to view our new website ? Please provide any comments or suggestions below.

* 12. Would you like an email or telephone call to discuss your suggestions or concerns ? Please provide comments below.