Patient Survey

To Better serve you, Pediatrics in Brevard would like your feedback on the healthcare services you received from us.  We appreciate all your comments or suggestions.

Location
Physician or N.P.
Please Rate The Cleanliness And Appearance Of The Office?
Ease Of Getting Checked In, Including The Amount Of Time It Took?
Provider/Child/Parent Interaction?
Courtesy And Respect You Were Given By Provider: Friendliness And Kindness?
If your child was sick, did you have access to an appointment the day you called?
At The End Of The Appointment, How Clearly Were You Told What To Do And Expect?
Responsiveness To Telephone Inquiries?
Attention To Payment Issues?
If you received a referral, how clearly were you told what to do and what to expect?
Would You Recommend This Practice To Family Or Friends?
Where Did You Hear About Us?
Other Comments
Optional. If You Would Like Us To Contact You, Please Fill Out This Portion Of The Survey:
Please enter the letters as exactly shown to the right and press the Send! button.
Please enter the letters as exactly shown to the right and press the Send! button.