Patient Satisfaction Question Title * 1. Tell us about our telephone system. When you called to schedule an appointment at our office, how long were your hold times? 0-2 minutes 2-4 minutes 4-6 minutes Greater than 6 minutes 0-2 minutes 2-4 minutes 4-6 minutes Greater than 6 minutes Question Title * 2. Tell us about your experience making your appointment. Did we find an appointment time that was convenient for you? Convenient for me Good compromise Didn't work well with my schedule Convenient for me Good compromise Didn't work well with my schedule Question Title * 3. Please let us know how our front-desk team is doing with both the check-in and check-out process. Feel free to drop a name if you had a good experience with one of our team members :) Great job Good Average Improvement needed Needs a new job! Courtesy Courtesy Great job Courtesy Good Courtesy Average Courtesy Improvement needed Courtesy Needs a new job! Professionalism Professionalism Great job Professionalism Good Professionalism Average Professionalism Improvement needed Professionalism Needs a new job! Proficiency Proficiency Great job Proficiency Good Proficiency Average Proficiency Improvement needed Proficiency Needs a new job! Comments and names always welcome! Question Title * 4. How was the nursing staff in our office? Great Job Good Average Improvement needed Needs a new job! Courtesy Courtesy Great Job Courtesy Good Courtesy Average Courtesy Improvement needed Courtesy Needs a new job! Professionalism Professionalism Great Job Professionalism Good Professionalism Average Professionalism Improvement needed Professionalism Needs a new job! Proficiency Proficiency Great Job Proficiency Good Proficiency Average Proficiency Improvement needed Proficiency Needs a new job! Comments and names welcome! Question Title * 5. Who was your provider today at Pearland Pediatrics? Dr. Deborah Gant Dr. Jason Decker Dr. Jennifer Gray Dr. Brad Onhaizer Dr. Shannon Stroope Dr. Shirley Chan Tim Smith, NP Question Title * 6. Please tell us about your experience with the provider. Outstanding Average Needs improvement Courtesy Courtesy Outstanding Courtesy Average Courtesy Needs improvement Professionalism Professionalism Outstanding Professionalism Average Professionalism Needs improvement Time spent with you Time spent with you Outstanding Time spent with you Average Time spent with you Needs improvement Medical knowledge Medical knowledge Outstanding Medical knowledge Average Medical knowledge Needs improvement Physician satisfaction Physician satisfaction Outstanding Physician satisfaction Average Physician satisfaction Needs improvement Comments Welcome! Question Title * 7. On a scale of 1-5 with 5 being the best, how many stars would you give our office facilities, decoration, and comfort? Please feel free to comment. 5 stars 4 stars 3 stars 2 stars 1 star 5 stars 4 stars 3 stars 2 stars 1 star Comments Question Title * 8. Would you refer us to a friend or relative? Absolutely Maybe No way Absolutely Maybe No way Question Title * 9. If you would like to be contacted regarding your responses so that we can continue to improve and be the best pediatric clinic for your children, please feel free to leave your personal information below. First name: Last name: Phone: Email Address: Done