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Patient Centered Medical Home Survey 2026
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1.
Which St. Petersburg Location Did You Visit?
(Required.)
St. Petersburg - Seville - 2701 54th Ave.
St. Petersburg - Southside - 1012 4th St.
St. Petersburg - Disston - 4105 49th S.
St. Petersburg - Northside - 2137 16th S.
Largo - Largo Mall - 12170 Seminole Blvd.
Largo - East Bay - 3475 East Bay Dr.
Pinellas Park - 7500 Park Blvd.
Seminole - 7050 Seminole Blvd
Tampa - 2550 M.L.K Jr. Blvd
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2.
How easy is it to get an appointment for your child when they need one?
(Required.)
Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
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3.
How easy is it to reach your child’s care team (by phone, portal, or in person) when you have a question?
(Required.)
Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
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4.
When you contact the office with a question or concern, how quickly do you usually get a response?
(Required.)
Same day
Within 1 - 2 days
More than 2 days
I don't contact the office
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5.
My medical provider team gave me easy to understand instructions about taking care of my child’s health problems and concerns and I felt empowered I could follow the treatment plan agreed upon.
(Required.)
Yes
No
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6.
Does your provider ask about your child’s emotional or behavioral health (for example, sleep, mood, or school issues)?
(Required.)
Yes
No
Does not apply
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7.
During your child’s visit, did your provider talk with you about ways to keep your child healthy and safe (for example, safety at home, screen/TV time, and healthy eating)?
(Required.)
Yes
No
Does not apply
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8.
How often does your child’s provider listen carefully to you and your child?
(Required.)
Always
Usually
Sometimes
Rarely
Never
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9.
How often does your child’s provider include you in decisions about your child’s care?
(Required.)
Always
Usually
Sometimes
Rarely
Never
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10.
Do you feel that your child’s care team keeps you informed about test results, referrals, and follow-up plans?
(Required.)
Always
Usually
Sometimes
Rarely
Never
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11.
If your child sees other specialists, does your provider help coordinate that care? Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care.
(Required.)
Yes
No
Does not apply
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12.
Do you feel your family’s culture, values, and beliefs are respected during visits?
(Required.)
Always
Usually
Sometimes
Rarely
Never
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13.
In the past six months, has someone from our office asked if there are things that make it hard for you to care for your child's health? For example, problems with money, food, or having a stable place to live?
(Required.)
Yes
No
