Carolina Kids Pediatrics Patient & Family Survey

1. Your Child's Provider

First, we'd like some information on your child's primary provider at Carolina Kids Pediatrics. Please complete this survey only if your child has been seen as a patient at Carolina Kids Pediatrics within the last 12 months.

Question Title

* 1. How long has your child been a patient at Carolina Kids Pediatrics?

Less than 6 months

6 months - 1 year

1-3 years

3-5 years

More than 5 years

Question Title

* 2. Who primarily takes care of your child at Carolina Kids?

Jeffrey Tanaka, MD

Leanna Willey, MD

Mari Emmet, MD

Alex Hernandez, MD

Kelly Roschen, DO