ABCD Pediatrics Patient Satisfaction Survey
Please take a few minutes to fill out this survey on the quality of service you received before and during your visit.  Your answers will be kept confidential.
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Front desk reception and check-out staff were courteous, compassionate, and helpful
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Nursing staff were courteous, compassionate, and helpful
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Promptness of phone call-back from doctor OR nurse during office hours
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Promptness of phone call-back from on-call doctor after hours
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The ease of your call being answered by a staff person when you called for an appointment or other service
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Satisfaction with the length of time between the day the appointment was made and the day of the visit
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Overall satisfaction with your wait time from time of arrival until seen by a doctor
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Overall satisfaction with the amount of time the doctor spent with you
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Satisfaction with your doctor’s care and communication with you regarding your child’s medical condition
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Overall confidence in our ability to manage your child’s health or condition
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Confidence in your doctor to refer you to a specialist if necessary
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Likelihood of recommending this practice to others
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Overall satisfaction with your most recent visit
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Convenience of office hours
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Overall satisfaction with your child’s specialty visit that we referred you to
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If your child was seen by a specialist, please list the provider name and clinic:
Overall satisfaction with your use of community resources provided by the practice (i.e. breastfeeding, asthma education, parenting, internet safety, parent decision making aids, weight management obtaining discount prescription medications).
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Which location were you seen?
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Which provider did you see?
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Please provide any additional comments or suggestions to allow us to assist you better.
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