FeedBack - Pediatrics R US

Your Feedback and Suggestions

Your opinion is important to us

please rate your visit and submit suggestions anonymously

Date of the visit:

Were appointment times available within a reasonable time?

Comments?

Were you able to get an appointment within the time frame that you wanted it?

Comments?

How likely are you to schedule a TeleVisit (online virtual visit) instead coming into the office to see the doctor?

What time of day would you prefer to have a telehealth visit? (mornings, early afternoons, late afternoon)

Was the front desk staff friendly and courteous to you?

Comments?

Were the office nurses friendly and courteous to you?

Comments?

Did the doctor spend enough time with you to address your needs and answer all your questions?

Comments?

Did the doctor listen and address any questions or doubts you have regarding your child’s care and provide the appropriate answers?

Comments?

Has your child had any labs or x-rays ordered by our doctor?

If the answer to above question is yes, were you notified of the results in a timely manner?

Comments?

Has our office completed any specialist referrals for your child?

If the answer to above question is yes, do you feel that our office handled this in a timely manner?

Comments?

Upon leaving, did you understood the diagnosis and medical treatments recommended by the doctor?

Comments?

Have we provided you with educational materials to help you understand the reason for your child’s visits?

If the answer to above question is yes, was the information helpful and/or did it answer all of your questions?

Comments?

Do you feel that our care team addressed all of your child’s health care needs?

Comments?

Any additional Comments?Any additional comments?

Date of the visit:

Were appointment times available within a reasonable time?

Comments?

Were you able to get an appointment within the time frame that you wanted it?

Comments?

How likely are you to schedule a TeleVisit (online virtual visit) instead coming into the office to see the doctor?

What time of day would you prefer to have a telehealth visit? (mornings, early afternoons, late afternoon)

Was the front desk staff friendly and courteous to you?

Comments?

Were the office nurses friendly and courteous to you?

Comments?

Did the doctor spend enough time with you to address your needs and answer all your questions?

Comments?

Did the doctor listen and address any questions or doubts you have regarding your child’s care and provide the appropriate answers?

Comments?

Has your child had any labs or x-rays ordered by our doctor?

If the answer to above question is yes, were you notified of the results in a timely manner?

Comments?

Has our office completed any specialist referrals for your child?

If the answer to above question is yes, do you feel that our office handled this in a timely manner?

Comments?

Upon leaving, did you understood the diagnosis and medical treatments recommended by the doctor?

Comments?

Have we provided you with educational materials to help you understand the reason for your child’s visits?

If the answer to above question is yes, was the information helpful and/or did it answer all of your questions?

Comments?

Do you feel that our care team addressed all of your child’s health care needs?

Comments?

Any additional Comments?Any additional comments?