Evaluation

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How are we doing at Pediatric Cardiology Resources?

In an effort to continually improve the quality of care and services we provide to our patients, we would appreciate you taking a few minutes to tell us about your experience here at Pediatric Cardiology Center of Oregon.

Evaluation Form

Your Name
Patient Name
Patient Birth Date
Date of Exam
Cardiologist Seen
Ease of Scheduling Appointment
Ability to get in to be seen by your child's cardiologist?
Assistants were prompt in returning calls:

Front Desk/Scheduling were prompt in returning calls:

Time to be taken back?
Time to see physician
Were Medical Assistants friendly & helpful?
Were Front Desk/Scheduling friendly and helpful?
Did the Medical Assistants answer your questions?
Did the Front Desk/Scheduling answer your questions?
Friendly and courteous to you?
Clearly explained your child's condition?
Felt your worries & concerns were heard?
Do you feel you had enough time with the physician?
Instructions given to you regarding follow up care?
Would you recommend us to a friend or family member?
How did you hear about us?

Any other comments or concerns?
Did anyone stand out positively or negatively?
Are you a new patient?
Enter the the characters from above to show you are a real person.

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