Treasure Valley Pediatrics

Patient Satisfaction Survey

Your satisfaction and feedback is very important to us. Please let us know about your experience with Treasure Valley Pediatrics.

About Your Visit
1. Which office did you visit today? Boise Eagle Meridian
2. Which physician did you see today?

On a scale from 1 to 5
( With 0 = Not Applicable / No Answer, 1 = Extremely Dissatisfied, and 5 = Extremely Satisfied)
Please rate the following:

3. Length of time it took to get an appointment 0 1 2 3 4 5
4. Length of time spent in the waiting room waiting to be seen 0 1 2 3 4 5
5. Length of time spent in the exam room waiting to be seen 0 1 2 3 4 5
6. Physical environment of the office 0 1 2 3 4 5
7. Friendliness and helpfulness of office staff 0 1 2 3 4 5
8. Friendliness and helpfulness of nursing staff 0 1 2 3 4 5
9. Friendliness and helpfulness of billing staff 0 1 2 3 4 5
10. Satisfaction with the results of your care 0 1 2 3 4 5
11. Overall satisfaction with Treasure Valley Pediatrics 0 1 2 3 4 5

12. Have you visited/used our website prior to today? N/A Yes No

If yes, on a scale from 1 to 5
( With 0 = Not Applicable / No Answer, 1 = Not Useful, and 5 = Very Useful )
Please rate the following:

13. How useful did you find the content/information provided? 0 1 2 3 4 5

14. Have you visited/used our after-hours clinic on the evening/weekend? N/A Yes No

If yes, on a scale from 1 to 5
( With 0 = Not Applicable / No Answer, 1 = Vot Valuable, and 5 = Very Valuable )
Please rate the following:

15. How valuable is it for you to have access to our clinic after hours?
  Weekday evening 0 1 2 3 4 5
  Saturday 0 1 2 3 4 5
  Sunday 0 1 2 3 4 5

16. Additional Comments are welcomed.

 

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