MedPeds Medical Clinic Patient Survey 2018

We at MedPeds Medical Clinic/Dr. Khan's office are interested in your feedback in order to improve our services to you. Please tell us what you like about us and what we can improve to make your experience with us better.  We strive to do our best everyday to serve you (our patients) and their families.

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* 1. Our records show that you received healthcare services  from MedPeds Medical Clinic. Is that right?

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* 2. Is Medpeds Medical Clinic, the provider you usually see if you need a check-up, want advice about a health problem, or get sick or hurt?

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* 3. How long have you been going to MedPeds Medical Clinic?

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* 4. In the last 12 months, how many times did you visit MedPeds Medical Clinic?

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* 5. In the last 12 months, when you phoned Medpeds Medical Clinic’s office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed?

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* 6. In the last 12 months, when you made an appointment for a check-up or routine care with your healthcare provider at MedPeds Medical Clinic, how often did you get an appointment as soon as you needed?

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* 7. Did you receive reminders of upcoming appointment?

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* 8. Did this provider’s office give you information about what to do if you
need care during evenings, weekends, or holidays?

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* 9. Have you been informed that patients at MedPeds Medical Clinic have access to a patient portal?

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* 10. Are you aware you can ask questions, request refills, and communicate with MedPeds Medical Clinic through the patient portal?

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* 11. Please choose the provider you have seen most often at MedPeds Medical Clinic in the last 12 months.

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* 12. In the last 12 months, when you phoned MedPeds Medical Clinic’s office during regular office hours, how often did you get an answer to your medical question in a timely manner?

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* 13. In the last 12 months, how often did you see the provider you listed in question 8 within 20 minutes of your appointment time?

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* 14. Please compare your wait times at MedPeds Medical Clinic with other medical offices you have gone to.

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* 15. In the last 12 months, how often did the provider you listed in question 8 explain things in a way that was easy to understand?

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* 16. In the last 12 months, how often did your healthcare provider listen carefully to you?

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* 17. In the last 12 months, how often did the provider you listed in question 8 give you easy to understand information about these health questions or concerns?

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* 18. In the last 12 months, how often did the provider you listed in question 8 seem to know the important information about your medical history?

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* 19. In the last 12 months, when you phoned Medpeds Medical Clinic’s office after regular office hours, how often did you get an answer to your medical question in a timely manner?

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* 20. In the last 12 months, how often did your healthcare provider spend enough time with you?

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* 21. In the last 12 months, when the provider you listed in question 8 ordered a blood test, x-ray, or other test for you, did your provider review the results with you at your next visit?

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* 22. Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?

  10 Best provider possible 9 8 7 6 5 4 3 2 1 0 Worst provider possible
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* 23. How often have the front office staff been helpful and friendly as you were checking in and checking out?

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* 24. In the last 12 months, how often did the billing staff at MedPeds Medial Clinic  answer your questions to your satisfaction and in a friendly, respectful manner?

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* 25. In the last 12 months, were the medical assistants as helpful as you thought they should be?

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* 26. In the last 12 months, how often did your healthcare provider show respect for what you had to say?

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* 27. In general, how would you rate your overall health?

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* 28. In general, how would you rate your overall mental or emotional health?

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* 29. What is your age?

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* 30. Are you male or female?

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* 31. Are you of Hispanic or Latino origin or descent?

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* 32. What is your race? Mark one or more.

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* 33. I feel the area of improvement would be

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* 34. Please feel free to add your own comments

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