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Help Us Improve Our Offices

Thank you for taking the time to complete the survey!

Which office were you seen at today?*
Which Provider did you see today?*
Please select the insurance status of your visit today:*
You were able to get an appointment for an urgent care visit or a sick visit on the same day you called, either in day clinic or after hours:*
You were able to get an appointment for your child's well visit within 14 days of when you needed the visit:*
You waited less than 20 minutes to see your Provider from the time of being taken back to an exam room:*
On a scale of 1 to 5 (1 being the worst and 5 being the best), the Provider was able to answer all of your questions in a way you were staisfied with:*
On a scale of 1 to 5 (1 being the worst and 5 being the best), after the visit you felt empowered over your child's health and knew how to take care of your child to maintain a healthy lifestyle:*
On a scale of 1 to 5 (1 being the worst and 5 being the best), how would you rate the care your child recieved today?*
Have you looked at our Community Resource page on the Alpine Pediatrics website?*
On a scale of 1 to 5 (1 being the worst and 5 being the best) how would you rate the usefulness of the Community Resource Page?

If you would like to see our Community Resource page please click here.

 

Alpine Pediatrics
Implementation: 11/10/2016
Revision: 3/9/2017