Pediatric Associates' patient satisfaction survey

How easy or difficult was it to schedule your appointment at a time that was convenient for you?

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* 1. How easy or difficult was it to schedule your appointment at a time that was convenient for you?

Overall, how would you rate the service you received from the staff at our office?

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* 2. Overall, how would you rate the service you received from the staff at our office?

Which provider did you see today?

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* 3. Which provider did you see today?

Overall, how would you rate the care you received from your provider?

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* 4. Overall, how would you rate the care you received from your provider?

How satisfied or dissatisfied were you with the amount of time your provider spent with you addressing your needs?

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* 5. How satisfied or dissatisfied were you with the amount of time your provider spent with you addressing your needs?

How well did your provider answer your questions?

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* 6. How well did your provider answer your questions?

Overall, how satisfied or dissatisfied were you with your visit to our office?

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* 7. Overall, how satisfied or dissatisfied were you with your visit to our office?

How likely is it that you would recommend your provider to a friend or family member?

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* 8. How likely is it that you would recommend your provider to a friend or family member?

Not at all likely
Extremely likely
Please feel free to provide any additional comments so we may improve our practice.

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* 9. Please feel free to provide any additional comments so we may improve our practice.

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