Patient Experience Survey 2025

Patient Experience Survey 2025

Responses are voluntary and will remain confidential.
Which location do you visit most?*
If we were to provide more evening hours, which evening(s) of the week would your family utilize our services?*

MondayTuesdayWednesdayThursdayFriday
When you call our office, how much time are you on hold before you speak to a staff member?*

Less than 1 minutes2 - 5 minutes5 - 10 minutesMore than 10 minutes
How soon are you able to be seen when you call to schedule an appointment?*

Same Day1 - 2 Days3 - 5 Days1 Week
When attending an appointment, how long do you wait to be seen by the provider?*

Less than 10 minutes20 - 30 minutesMore than 30 minutes
How easy is it to schedule an appointment with Nurture Pediatrics?*

Very easySomewhat easySomewhat difficultVery difficultNeither easy or difficult
What is your preferred method of scheduling an appointment?*

Phone callEmailTextPatient Portal
How comfortable do you feel to reach out to our office for care advice? Either during business hours or after-hours (nights/weekends).*
Are our clinic hours convenient for you and/or your family?*

YesNoOther
What changes do you suggest to our clinic hours to better meet your family's needs?*
Did you have an opportunity to mention all of your concerns you hoped to discuss at your most recent visit?*
I felt like my thoughts and opinions regarding my child’s care and treatment were welcomed and acknowledged.*

YesNoOther
If answered No or Other, please share your experience or feedback.
If a referral to another provider was needed, do you feel you were notified of referral information in a timely manner?*

YesNoOther
If answered No or Other, please share your experience or feedback.
Do you feel you were notified of lab and/or imaging reports in a timely manner?*

YesNoOther
If answered No or Other, please share your experience or feedback.
Do you feel you were given adequate information and/or teaching about how to manage your child’s current illness or condition? *
Do you feel you were given information about new medications that were prescribed to your child?*
We are planning video content in 2026, what topics would you like to see from our providers? *
Do you have any suggestions to improve our practice and/or services?
Thank you for completing our survey.

Optional: If you would like to discuss your feedback or experience, please include your name and email below.
Name

First NameLast Name
Email
example@example.com
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