Hopple Resident Parent Feedback Survey Question Title * 1. Please give us feedback about your experience with your child's doctor today. The doctor: Never Rarely Sometimes All the time No Opinion Listened carefully to me Listened carefully to me Never Listened carefully to me Rarely Listened carefully to me Sometimes Listened carefully to me All the time Listened carefully to me No Opinion Explained things in a way I could understand Explained things in a way I could understand Never Explained things in a way I could understand Rarely Explained things in a way I could understand Sometimes Explained things in a way I could understand All the time Explained things in a way I could understand No Opinion Treated me and my child with respect Treated me and my child with respect Never Treated me and my child with respect Rarely Treated me and my child with respect Sometimes Treated me and my child with respect All the time Treated me and my child with respect No Opinion Gave me advice on ways to help my child stay healthy Gave me advice on ways to help my child stay healthy Never Gave me advice on ways to help my child stay healthy Rarely Gave me advice on ways to help my child stay healthy Sometimes Gave me advice on ways to help my child stay healthy All the time Gave me advice on ways to help my child stay healthy No Opinion Question Title * 2. I would recommend this doctor to my friends and family No Maybe Yes No Maybe Yes Question Title * 3. Name of Resident Question Title * 4. Date Survey Completed 05/18/2015 Date Done