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* 1. Which provider did you see during your most recent visit (in the clinic or through Telehealth)?

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* 2. Did your most recent appointment meet your time preferences?  Yes or No.   If no, which type of appointment would have been your preference?

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* 3. In the last 6 months, when you contacted the office during regular office hours and needed a same day answer to a medical question, was it answered that same day?  Yes or No.  If not, was it answered within 24 hours?  Yes or No.

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* 4. In the last 6 months, when you contacted the provider on call after regular business hours, how quickly was your call returned?

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* 5. Did your child's provider explain things in a way that is easy to understand? Yes or No. Did the provider support & encourage you and your child to make healthy lifestyle choices?

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* 6. Does the provider seem informed and up to date about the care you have received from specialists?

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* 7. Does the practice keep you up to date on test results and referrals to specialists?

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* 8. Overall how would you rate the service you received from the medical assistant?

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* 9. Overall how would you rate the service you received while checking in for your child's appointment?

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* 10. Is there anything that would improve your experience with the service or care we provide you?

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