Exit this survey Pediatric Patient Satisfaction Survey - Shenandoah Clinic Dear Patient,In an effort to continue to improve our practice, we kindly ask that you take five minutes to fill out this survey so that we know what we are doing well and where we need to improve to make your visit here the best it can be. Your responses will be kept strictly confidential. Thank you for your help. Question Title * 1. Please select the physician(s) you see at this practice. Joseph Masternick, Jr, DO Ronald Rothenberg DO Question Title * 2. Has your child received care from this doctor with in the last 12 months? If you have not, do not answer any more questions. Please just select NO and then submit on the bottom of the page. Thank you. Yes No Question Title * 3. Is this the doctor you usually see if your child needs a checkup, has a health problem, or get sick or hurt? Yes No Question Title * 4. How long have you been going to this doctor? Less than 6 months At least 6 months but less than 1 year At least 1 year but less than 3 years At least 3 years but less than five years Five years or more The following questions ask about your child's healthcare. Do NOT include care your child got when he or she stayed overnight in a hospital. Do NOT include the times you went for dental visits. Question Title * 5. In the last 12 months, how many times did your child visit this doctor to get care? None Once Twice Three to five visits Five to nine visits 10 or more times Question Title * 6. In the last 12 months, did you ever stay in the exam room with your child during a visit to this doctor? Yes No Question Title * 7. Did this doctor give you enough information about what was discussed during the visit when you were not there? Yes No Question Title * 8. Is your child able to talk with the doctor about his or her health care? Yes No Question Title * 9. In the last 12 months, how often did this doctor explain things in a way that was easy for your child to understand? Never Sometimes Usually Always Question Title * 10. In the last 12 months, how often did this provider listen carefully to your child? Never Sometimes Usually Always Question Title * 11. Did this doctor tell you that you needed to do anything to follow up on the care your child received during the visit? Yes No Question Title * 12. Did this doctor give you enough information about what you needed to do to follow up on your child's care? Yes No Question Title * 13. In the last 12 months, did you phone this doctor's office to get an appointment for your child for an illness, injury or condition that needed care right away? Yes No Question Title * 14. In the last 12 months, when you phoned this doctor's office to get an appointment for care that your child needed right away, how often did you get an appointment as soon as your child needed? Never Sometimes Usually Always Question Title * 15. In the last 12 months, did you make any appointments for a checkup or routine care for your child with this doctor? Yes No Question Title * 16. In the last 12 months, when you made an appointment for a checkup or routine care for your child with this doctor, how often did you get an appointment as soon as your child needed? Never Sometimes Usually Always Question Title * 17. In the last 12 months, did you phone this doctor's office with a medical question about your child during regular office hours? Yes No Question Title * 18. In the last 12 months, when you phoned this doctor's office during regular office hours, how often did you get an answer to your medical question that same day? Never Sometimes Usually Never Question Title * 19. In the last 12 months, did you phone this doctor's office with a medical question about your child after regualr office hours? Yes No Question Title * 20. In the last 12 months, when you phoned this doctor's office after hours, how often did you get an answer to your medical questions as soon as you needed? Never Sometimes Usually Always Question Title * 21. Wait time includes the time spent in the waiting room and exam room. In the last 12 months, how often did your child see this doctor within 15 minutes of his or her appointment time? Never Sometimes Usually Always Question Title * 22. In the last 12 months, how often did this doctor explain things about your child's health that was in a way that was easy to understand? Never Usually Sometimes Always Question Title * 23. In the last 12 months, how often did this doctor listen carefully to you? Never Sometimes Usually Always Question Title * 24. In the last 12 months, did you and this doctor talk about any questions or concerns you had about your child's health? Yes No Question Title * 25. In the last 12 months, how often did this doctor give you easy to understand information about these health questions or concerns? Never Sometimes Usually Always Question Title * 26. In the last 12 months, how often did this doctor seem to know the important information about your child's medical history? Never Sometimes Usually Always Question Title * 27. In the last 12 months, how often did this doctor show respect for what you had to say? Never Sometimes Usually Always Question Title * 28. In the last 12 months, how often did this doctor spend enough time with your child? Never Sometimes Usually Always Question Title * 29. In the last 12 months, did this doctor order a blood test, x-ray or other test for your child? Yes No Question Title * 30. In the last 12 months, when this provider ordered a blood test, x-ray or other test for your child, how often did someone from this doctor's office follow up to give you those results? Never Sometimes Usually Always Question Title * 31. Using any number from 0-10, where 0 is the worst doctor possible and 10 is the best doctor possible, what number would you use to rate this physician? 0 worst doctor possible 1 2 3 4 5 6 7 8 9 10 best doctor possible The following questions are about Clerks and Receptionists in this office. Question Title * 32. In the last 12 months, how often were clerks and receptionists at this doctor's office as helpful as you thought they should be? Never Sometimes Usually Always Question Title * 33. In the last 12 months, how often did clerks and receptionists at this doctor's office treat you with courtesy and respect? Never Sometimes Usually Always Next