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Little Rock Children's Clinic Patient Survey
Thank you for your feedback as it helps us learn what we’re doing well and where we can improve, so we can better serve our families like you!
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1.
Patient name and DOB
(Required.)
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2.
How do you prefer to be notified about clinic updates, events, hours, etc?
(Required.)
Text
Email
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3.
What new services, if any, would you like to see offered at LRCC?
(Required.)
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4.
Was your wait time during your most recent visit acceptable? If not, please provide the provider’s name and explain any details.
(Required.)
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5.
What changes would you like to see in our clinic?
(Required.)
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6.
How can we better serve you or make your child’s experience more enjoyable?
(Required.)
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7.
Any other comments you would like to give us?
(Required.)
Current Progress,
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