Chapel Hill Children's Clinic Patient Satisfaction Survey Question Title * 1. How long has it been since your most recent visit with Chapel Hill Children's Clinic? Less than 1 month At least 1 month but less than 3 months At least 3 months but less than 6 months At least 6 months but less than 12 months 12 months or more Question Title * 2. How long have you been going to Chapel Hill Children's Clinic? Less than 6 months At least 6 months but less than 1 year At least 1 year but less than 3 years At least 3 years but less than 5 years 5 years or more Question Title * 3. How friendly is Chapel Hill Children's Clinic office staff? Extremely friendly Very friendly Moderately friendly Slightly friendly Not at all friendly Question Title * 4. How easy or difficult was it to schedule your appointment at a time that was convenient for you? Very easy Somewhat easy Neither easy nor difficult Somewhat difficult Very difficult Question Title * 5. In the last 12 months, when you phoned Chapel Hill Children's Clinic’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed? Never Sometimes Usually Always Question Title * 6. In the last 12 months, did you phone Chapel Hill Children's Clinic’s office with a medical question after regular office hours? Yes No Question Title * 7. In the last 12 months, when you phoned Chapel Hill Children's Clinic’s office after regular office hours, how often did you get an answer to your medical question as soon as you needed? Never Sometimes Usually Always Not applicable Question Title * 8. Overall, how often do you wait more than 15 minutes to see your doctor? (Wait time includes time spent in the waiting room and exam room.) Always Most of the time About half of the time Once in a while Never Question Title * 9. During your most recent visit, did you talk with Chapel Hill Children's Clinic about any health questions or concerns? Yes No Question Title * 10. During your most recent visit, did your healthcare provider give you easy to understand information about these health questions or concerns? Yes, definitely Yes, somewhat No Question Title * 11. During your most recent visit, did Chapel Hill Children's Clinic seem to know the important information about your medical history? Yes, definitely Yes, somewhat No Question Title * 12. During your most recent visit, did your healthcare provider listen carefully to you? Yes, definitely Yes, somewhat No Question Title * 13. How satisfied or dissatisfied were you with the amount of time your provider spent with you addressing your needs? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 14. How well did your provider explain your follow-up care? Extremely well Very well Moderately well Slightly well Not at all well Not applicable Question Title * 15. In the last 12 months, when Chapel Hill Children's Clinic ordered a blood test, x-ray, or other test for you, how often did someone from this provider’s office follow up to give you those results? Never Sometimes Usually Always Not Applicable Question Title * 16. Is Chapel Hill Children's Clinic the provider you usually see if you need a check-up, want advice about a health problem, or get sick or hurt? Yes No Question Title * 17. Overall, how satisfied or dissatisfied were you with your last visit to our office? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 18. How comfortable was the lobby and waiting area? Extremely comfortable Very comfortable Moderately comfortable Slightly comfortable Not at all comfortable Question Title * 19. Overall, how would you rate the service you received from the staff at our office? Excellent Very good Good Fair Poor Question Title * 20. In your opinion, how convenient is the location of our office? Extremely convenient Very convenient Moderately convenient Slightly convenient Not at all convenient Question Title * 21. Overall, how would you rate the care you received from your provider? Excellent Very good Good Fair Poor Question Title * 22. How likely is it that you would recommend Chapel Hill Children's Clinic to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 23. Is there anything we could have done to improve your last visit? Done