Pediatric Center Survey | Richmond Virginia

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?

Ease of getting an appointment:

Length of time spent on hold:

Ability to get your phone call returned:

Friendliness and courteousness of the front office staff:

Length of time in the waiting room:

Caring of the nurses and medical assistants:

Length of time spent waiting in the exam room on the Doctor/Nurse Practitioner

Thoroughness of Doctor/Nurse Practitioner explanations and instructions:

Time spent with you in the exam room:

Helpfulness of the billing office:

Cleanliness of the facility:

Additional Comments:

Name

Contact Number:

Patient Survey

Patient Survey