* 1. Tell us about our telephone system. When you called to schedule an appointment at our office, how long were your hold times?

* 2. Tell us about your experience making your appointment. Did we find an appointment time that was convenient for you?

* 3. Please let us know how our front-desk team is doing with both the check-in and check-out process. Feel free to drop a name if you had a good experience with one of our team members :)

  Great job Good Average Improvement needed Needs a new job!
Courtesy
Professionalism
Proficiency

* 4. How was the nursing staff in our office?

  Great Job Good Average Improvement needed Needs a new job!
Courtesy
Professionalism
Proficiency

* 5. Who was your provider today at Pearland Pediatrics?

* 6. Please tell us about your experience with the provider.

  Outstanding Average Needs improvement
Courtesy
Professionalism
Time spent with you
Medical knowledge
Physician satisfaction

* 7. On a scale of 1-5 with 5 being the best, how many stars would you give our office facilities, decoration, and comfort? Please feel free to comment.

* 8. Would you refer us to a friend or relative?

* 9. If you would like to be contacted regarding your responses so that we can continue to improve and be the best pediatric clinic for your children, please feel free to leave your personal information below.

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