How likely is it that you would recommend our practice to a friend or colleague?

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* 1. How likely is it that you would recommend our practice to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY
Overall, how satisfied or dissatisfied are you with our practice?

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* 2. Overall, how satisfied or dissatisfied are you with our practice?

The nurses, receptionists, and other staff treat my child and family with respect and care.

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* 3. The nurses, receptionists, and other staff treat my child and family with respect and care.

When I phoned this doctor's office to get an appointmentfor care I needed right away, I got an appointment as soon as I thought I needed it.

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* 4. When I phoned this doctor's office to get an appointmentfor care I needed right away, I got an appointment as soon as I thought I needed it.

When I phone the office, I get an answer to my medical question that same day.

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* 5. When I phone the office, I get an answer to my medical question that same day.

The doctor treats my child and family with respect and listens to me carefully.

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* 6. The doctor treats my child and family with respect and listens to me carefully.

My child's doctor gave me easy to understand instructions about how to take care of my child's health problems or concerns.

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* 7. My child's doctor gave me easy to understand instructions about how to take care of my child's health problems or concerns.

When my child's doctor orders blood tests, x-rays, or other tests, someone from the office follow up to give me the results.

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* 8. When my child's doctor orders blood tests, x-rays, or other tests, someone from the office follow up to give me the results.

My child's doctor communicates with other health care professionals about my child's care (such as specialist, therapists, or other agencies)

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* 9. My child's doctor communicates with other health care professionals about my child's care (such as specialist, therapists, or other agencies)

Please tell us about anything that was done well or anything that could have improved the care and services you received. You may also state any other comments or concerns.

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* 10. Please tell us about anything that was done well or anything that could have improved the care and services you received. You may also state any other comments or concerns.

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