Mountain View Pediatrics
Staff of
Providers
Online
Bill Pay
Online
Requests
FAQs and
Parenting
Office
Policies
Health
Insurance
Helpful
Links
Comments
and Survey
Contact
Info
Comments and Survey

Comments

We care about your opinion and we’re always striving to improve care for our patients. Please email us with any comments or concerns you would like to share.

It helps a lot if you give specific examples with your comments. Non-specific comments are not only disappointing to receive but are impossible to act upon. If for some reason you would like to change the way we interact with patients, we need to know who your encounter was with, why it was or wasn’t good, and what you want done differently. We look forward to hearing from you!

Survey

Help us to improve your experience with us by filling out the following information:

PATIENT SATISFACTION SURVEY FORM

Your child was scheduled for:
Your child was scheduled to see:
When you arrived to check in...
(please check all that apply)
You were greeted quickly
The receptionist was friendly
The receptionist asked for your insurance card
The receptionist reviewed/updated your contact information
The receptionist collected your co-pay
There were plenty of places to sit in the waiting room
The receptionist who checked you in was:
How long did you wait in the waiting room: minutes
Did you feel like that amount of time was:
When the nurse called you back to a room did she:
(please check all that apply)
Identify herself (give her name)
Take all vital signs in the exam room (except for weight)
Review a list of medications
Review current allergies
Ask the reason for the visit
Ask the adults accompanying the patient for their first names and relationships to the patient
Overall seem welcoming and friendly
How long did you wait in the exam room before seeing the provider: minutes
In the exam room, did you feel like your wait was: