Pediatric Center - serving Richmond, VA with three locations

Patient Survey
We work hard to be the best that we can be. We would appreciate your feedback on the job we are doing. Please fill out the form below as completely as possible. Including your name and staff members' names help us to follow up on your comments.
Which location do you visit?
Is your child currently being treated for any illness/injury?	Yes	No
Ease of getting through on the phone:	Excellent	Good	Fair	Poor	Very Poor
Ease of getting an appointment:	Excellent	Good	Fair	Poor	Very Poor
Length of time spent on hold:	Excellent	Good	Fair	Poor	Very Poor
Ability to get your phone call returned:	Excellent	Good	Fair	Poor	Very Poor
Friendliness and courteousness of the front office staff:	Excellent	Good	Fair	Poor	Very Poor
Length of time in the waiting room:	Excellent	Good	Fair	Poor	Very Poor
Caring of the nurses and medical assistants:	Excellent	Good	Fair	Poor	Very Poor
Length of time spent waiting in the exam room on the Doctor/NP:	Excellent	Good	Fair	Poor	Very Poor
Thoroughness of Doctor/Nurse Practitioner explanations and instructions:	Excellent	Good	Fair	Poor	Very Poor
Time spent with you in the exam room:	Excellent	Good	Fair	Poor	Very Poor
Helpfulness of the billing office:	Excellent	Good	Fair	Poor	Very Poor
Cleanliness of the facility:	Excellent	Good	Fair	Poor	Very Poor
Additional Comments:
Contact Name:
Contact Number:

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