* 1. On a scale of 1-5, how satisfied were you with your check in process at the front desk?
Please provide specific comments about your experience in the box labeled "other" below.

* 2. About how long did you have to wait from the time you walked in until the time you left the waiting room?
Please provide specific comments about your experience in the box labeled "other" below.

* 3. On a scale of 1-5, how satisfied were you with the medical assistant who  brought you into room and checked vital signs?
Please provide specific comments about your experience in the box labeled "other" below.

* 4. On a scale of 1-5, how satisfied were you with the experience with the provider that you saw today?
.Please provide specific comments about your experience in the box labeled "other" below.

* 5. On a scale of 1-5, how satisfied were you with your check out process?
Please provide specific comments about your experience in the box labeled "other" below.

* 6. If you used the lab today, on a scale of 1-5, how satisfied were you with your experience at the lab?
Please provide specific comments about your experience in the box labeled "other" below.

* 7. Did you speak with a nurse on the phone, prior to your appointment today? If so, on a scale of 1-5, how satisfied were you with your experience with the nurse?
Please provide specific comments about your experience in the box labeled "other" below.

* 8. On a scale of 1 to 5, what is your overall rating of your experience at Roslindale Pediatrics today?

* 9. Are there any changes that you would like to see to make your experience better at Roslindale Pediatrics?

T