2017 Patient Survey Question Title * 1. Which office did you visit? Longview Salmon Creek Question Title * 2. Which Clinician did you see? Dr. Blaine Tolby Dr. Sue Abell Dr. Ken Wu Dr. Randy Copeland Dr. Rebecca Hutfilz Dr. Tsering Lhewa Dr. Wes Henricksen Dr. Amrita Stark Dr. Lisa Graham Dr. Nicole Castonguay Dr. Anne Mette Smeenk Robin Wulff, PNP MaryAlice McCubbins, PNP Question Title * 3. Is this the Clinician you prefer to see (your "assigned PCP")? Yes No I prefer to see whoever fits my schedule Question Title * 4. How long as you chid been a patient at Child and Adolescent Clinic? Less than 6 months At least 6 months but less than 1 year At least 1 year but less than 3 years At least 3 years but less than 5 years 5 years or more Question Title * 5. Is your child here today for a sick / injury visit? Yes No Question Title * 6. If YES for a sick / injury visit, when was the first appointment offered? Same day 1 days 2 to 3 days 4 to 7 days More than 7 days N/A Question Title * 7. Did you call our office looking for medical advice during regular office hours? Yes No Question Title * 8. If YES for medical advice, did you get an answer within 12 hours, either on the phone or left on your voicemail system? Yes No Question Title * 9. Is your child here today for a well-child exam / routine checkup? Yes No Question Title * 10. If YES for a well-child exam, when you scheduled, were you offered an appointment within 2 weeks? Yes No Question Title * 11. Did the Clinician who saw your child today explain things about your child's health in a way that was easy to understand? Yes No Question Title * 12. Did the Clinician who saw your child today seem informed and up-to-date about the care your child got from specialists outside our clinic? Yes No N/A - My child doesn't get care from other specialists Question Title * 13. Were the Receptionists as helpful, courteous, and respectful as you thought they should be? Yes No Question Title * 14. Was the Medical Assistant (the person who escorted you to the exam room) as helpful, courteous, and respectful as you thought he/she should be? Yes No Question Title * 15. Who was particularly helpful to you today? Question Title * 16. Did you have enough opportunity to ask questions? Yes No This doesn't apply to me Question Title * 17. Did all of your questions get answered? Yes No This doesn't apply to me Question Title * 18. Did anyone offer to help make it easier to take care of your child's health? Yes No This doesn't apply to me Question Title * 19. If your child currently takes any prescription medications, did you and anyone in this Clinician's office talk about this prescription medications? Yes No This doesn't apply to me - my child doesn't take any medications Question Title * 20. In the last 12 months, approximately how many times did this child visit any Clinician in this office? None 1 time 2 times 3 times 4 times 5 to 9 times 10 or more times Question Title * 21. Please rate this Clinician using any number from 0 to 10, where 0 is the worst Clinician possible and 10 is the best. 0 (worst) 10 (best) Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 22. What is the child's age who had an appointment with a Clinician today? Less than 1 year 1 year 2 years 3 years 4 years 6 to 10 years 11 to 14 years 15 to 18 years 19 to 20 years Over 20 years Question Title * 23. This child is covered by insurance through: An employer The State Independently Uninsured Question Title * 24. Have you used the online Patient Portal from home (through the CandAC website)? Yes No Question Title * 25. If YES you have used the patient portal, what was useful? Question Title * 26. What would make the Patient Portal more valuable for you? Question Title * 27. Other comments: Done