* 1. Which statement below applies to your child

* 2. Did the provider address your concerns at your visit today?

* 3. If advised or prescribed medications today, did you clearly understand the instructions and any potential side effects?

* 4. If referred to a specialist or services outside our office, were you given names and telephone numbers to contact?

* 5. Were you offered assistance to schedule the  appointments for the specialist or the service in Question 4?

* 6. If you are enrolled in our patient portal, do you find it a useful way to communicate with our office?

* 7. In the past 12 months, if you called our answering service, was your call returned within 15 minutes?

* 8. Are you aware that we have urgent Sunday morning appointments in our office?

* 9. During your visit, were you given useful advice to help manage an illness and/or guidance to support healthy lifestyle habits?

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