Specialty Clinic Survey

We have tried to make your visit to Dayton Children's Specialty Clinic as pleasant and efficient as possible. Your complete satisfaction is our goal. To help us evaluate and improve our services, we need your feedback.

Please rate the following services you or your child received by checking the response that best represents your feeling. Also, please comment on any good or bad experiences you may have had during this visit. Thank you!
SPECIALTY CLINIC VISITED TODAY?
1. Ease of locating this Specialty Clinic?
2. Courtesy and efficiency of the clerk who registered you and your child?
3. Estimated time from your scheduled appointment time until seeing the doctor or nurse practitioner?
4. Satisfaction with length of time before seeing the doctor or nurse practitioner?
5. Was an estimate of your expected wait provided?
6. Availability of books/toys/video games/other activities for your child?
7. Overall cleanliness of this Specialty Clinic?
Comments (please describe good or bad experiences)
8. How well the nurse listened to you and explained your child's condition and treatment?
9. How well the doctor or nurse practitioner listened to you and explained your child's condition and treatment?
9a. Was your child treated by a doctor or by a nurse practitioner?
10. Staff sensitivity toward any pain or discomfort your child experienced?
11. How well the staff maintained your child's privacy?
12. Your understanding of the follow-up care required after the visit?
13. Courtesy and efficiency of the person making your follow-up appointment?
14. Overall quality of the care your child received?
15. Likelihood of recommending this Specialty Clinic to others?
Comments/suggestions for improvement (please be specific)
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