WELL Clinic Initial Patient Survey

Welcome to the CPCMG WELL Clinic! It is important to us that you have a positive experience. Please take a moment to share your feedback about your initial visit or consultation by completing this brief survey.

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* 1. The doctor or nurse practitioner I saw showed genuine concern for my child and family.

Yes

No

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* 2. The doctor or nurse practitioner I saw was a good listener.

Yes

No

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* 3. I think the WELL clinic will help my child and family set and achieve our health goals.

Yes

No

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* 4. Please use this space to provide us with any additional feedback or suggestions