Child & Adolescent Clinic Family Survey, May 2020

How are we doing? We want to know! After your visit, please answer these few questions.
 
Return this survey to any staff person at Child & Adolescent Clinic.
Or take the survey online: www.Candac.com or use the QR code at the right
Think of your child's most recent visit to the Child & Adolescent Clinic.

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* 1. Was your visit

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* 2. Which Pediatrician did you see?

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* 3. Please rate this Pediatrician using any number from 1 to 5, where 1 is the worst possible and 5 is the best.

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* 4. Is this the Pediatrician you prefer to see?

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* 5. If you visited an office, which office did you visit?

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* 6. If an office visit, did you feel safe with the new rooming procedure?

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* 7. If your visit was a video or phone visit, were you able to communicate well with the Pediatrician?

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* 8. What was your child seen for?

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* 9. When was the first appointment offered?

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* 10. Did the Pediatrician explain information about your child's health in a way that was easy to understand?

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* 11. Did the Pediatrician inform you on how to stay healthy and improve your child's health during this challenging time? 

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* 12. Did the Pediatrician seem informed and up-to-date about the care your child got from specialists, including behavioral health, outside our clinic?

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* 13. Did the Pediatrician offer referrals and other resources to meet your needs?

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* 14. If you have received testing within the last year, did someone follow-up with the test results?

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