We care about kids! Nationwide Children’s Hospital Hematology/Oncology Clinic is dedicated to providing quality health care to children. Your opinion of our services and suggestions for improvement are important to our ongoing efforts to make things better for our patients. Thank you for taking a few moments to complete this survey.
We care about kids! Nationwide Children’s Hospital Hematology/Oncology Clinic is dedicated to providing quality health care to children. Your opinion of our services and suggestions for improvement are important to our ongoing efforts to make things better for our patients. Thank you for taking a few moments to complete this survey.
We care about kids!
Nationwide Children’s Hospital Hematology/Oncology Clinic is dedicated to providing quality health care to children. Your opinion of our services and suggestions for improvement are important to our ongoing efforts to make things better for our patients.
Thank you for taking a few moments to complete this survey.
Customer Satisfaction Survey
Please rate the following:
Very Good (5) :: Good (4) :: Fair (3) :: Poor (2) :: Very Poor (1)
Information and Instructions staff provided about caring for your child at home.
1 2 3 4 5
How well you were kept informed about delays.
1 2 3 4 5
Your child’s visit was completed in a timely manner.
1 2 3 4 5
Staff concerns for your questions and worries regarding your child’s care.
1 2 3 4 5
Overall satisfaction with your visit.
1 2 3 4 5
The time that you waited after checking in at the reception desk until you were shown to your exam room:
0-15 minutes 15-30 minutes 30-45 minutes 45-60 minutes Longer than 1 hour
The time that you waited after being shown to your exam room until you saw your child’s health care provider:
0-15 minutes 15-30 minutes 30-45 minutes 45-60 minutes Longer than 1 hour
The time that you waited to receive a medication/infusion in the infusion room:
0-15 minutes 15-30 minutes 30-45 minutes 45-60 minutes Longer than 1 hour My child did not receive a medication or infusion while in the clinic
Who is filling out this survey?
Comments: What can we do to better your visit?
Name (optional)
Phone (optional)
Please select yes if you would like to have someone contact you.
Yes
No
My visit was made special by
Why my visit was special
Please rate the following:
Very Good (5) :: Good (4) :: Fair (3) :: Poor (2) :: Very Poor (1)
