Take Our Office Visit Survey!
 
Survey
We want to hear from you! Please tell us how your recent office visit was so that we can continue to improve our services.
Were you able to schedule an appointment that was convenient for you?
Yes
No
When you called the office, was the receptionist helpful and friendly?
Yes
No
How long did you wait in the waiting room past your scheduled appointment time?
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Less than 5 minutes
5 - 10 minutes
11 - 20 minutes
21 - 30 minutes
31 - 40 minutes
more than 40 minutes
How long did you wait in the exam room before you saw the provider?
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Less than 5 minutes
5 - 10 minutes
11 - 20 minutes
21 - 30 minutes
31 - 40 minutes
more than 40 minutes
Were you satisfied with the courtesy and efficiency of our office staff?
Yes
No
Would you recommend Pediatric Wellness Center to a family member or friend?
Yes
No
Please add any additional comments below.
When you are finished, click the Submit button to the right.
Thanks for taking our survey! We look forward to seeing you again.
©2012 Pediatric Wellness Center.
Website designed and maintained by
Tim Dohrman
.