What was the nature of your contact with us today?	Office Visit Phone Call eMail
When you called the practice, was your call handled promptly and courteously?	Yes No
When you call the practice to ask a question or get other information and are told that your call will be returned, is it returned as promised?	Yes No
Have you visited Parkside Pediatrics before?	Yes No
How did you first hear about Parkside Pediatrics?	Friend or Family Member Your OB/GYN Other Medical Professional The Parkside Website Upstate Parent Magazine The Yellow Pages Other
When you arrived at the practice, did you find a parking place quickly?	Yes No
Did the receptionist greet you courteously?	Yes No
Do you consider the total time you spent waiting to be reasonable?	Yes No
Do you find our office environment to be comfortable?	Yes No
Were our staff members neat in appearance, dress, and personal cleanliness?	Yes No
Which physician did you see today?	Scott Dobson, MD Justin Moll, MD Erika Anderson, MD Stephen Jones, MD
Were the doctor and the staff caring and interested?	Yes No
Did you receive complete answers to all your health-related questions?	Yes No
Did you receive complete answers to your administrative and financial questions?	Yes No
Have you ever called Parkside Pediatrics after hours?	Yes No
If yes to the above, were you happy with the way your after-hours call was handled?	Yes No
Would you recommend Parkside Pediatrics to your friends and family?	Yes No
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