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How Are We Doing?

Your Feedback is Important to Us!

In an on-going effort to improve the care we provide please take this short survey regarding your last office visit. Please do not include any sensitive medical information in the comment section of this survey. Surveys are collected and reviewed by the Center City Pediatrics and Center City Pediatrics Bala team on a weekly basis.

2. How would you rate your experience at your last office visit?

Space Cell	Poor	Fair	Okay	Good	Great
Cleanliness of the office	Cleanliness of the office: Poor	Cleanliness of the office: Fair	Cleanliness of the office: Okay	Cleanliness of the office: Good	Cleanliness of the office: Great
Length of time you had to wait before you were called back to an exam room	Length of time you had to wait before you were called back to an exam room: Poor	Length of time you had to wait before you were called back to an exam room: Fair	Length of time you had to wait before you were called back to an exam room: Okay	Length of time you had to wait before you were called back to an exam room: Good	Length of time you had to wait before you were called back to an exam room: Great
Friendliness of our front desk staff	Friendliness of our front desk staff: Poor	Friendliness of our front desk staff: Fair	Friendliness of our front desk staff: Okay	Friendliness of our front desk staff: Good	Friendliness of our front desk staff: Great
Friendliness of our Medical Assistant that saw you in your exam room	Friendliness of our Medical Assistant that saw you in your exam room: Poor	Friendliness of our Medical Assistant that saw you in your exam room: Fair	Friendliness of our Medical Assistant that saw you in your exam room: Okay	Friendliness of our Medical Assistant that saw you in your exam room: Good	Friendliness of our Medical Assistant that saw you in your exam room: Great
Friendliness of your doctor	Friendliness of your doctor: Poor	Friendliness of your doctor: Fair	Friendliness of your doctor: Okay	Friendliness of your doctor: Good	Friendliness of your doctor: Great
Quality of the service performed	Quality of the service performed: Poor	Quality of the service performed: Fair	Quality of the service performed: Okay	Quality of the service performed: Good	Quality of the service performed: Great
Degree to which your concerns were addressed by the doctor	Degree to which your concerns were addressed by the doctor: Poor	Degree to which your concerns were addressed by the doctor: Fair	Degree to which your concerns were addressed by the doctor: Okay	Degree to which your concerns were addressed by the doctor: Good	Degree to which your concerns were addressed by the doctor: Great

3. What was the purpose of your visit?

4. How likely are you to recommend Center City Pediatrics to your family members, co-workers, and friends? Please use a 5-point scale where 5 is Extremely Likely and 0 is Not Likely.

	5	4	3	2	1	0
Extremely Likely	5	4	3	2	1	0	Not Likely

5. In your own words, let us know any issues or concerns you may have about your experience at our office.

6. If you would like a response from a member of the Center City Pediatrics team regarding your comments please leave your email address. This question requires a valid email address.