Children's Medicine of Rockdale at Honey Creek | Excellence in Children's Healthcare

We Value Your Comments
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At Children's Medicine of Rockdale, we are committed to excellence in children's healthcare. To make sure we're living up to our promise, we want to know about your most recent visit.

If your visit was pleasant, please share it with us. If you feel we still need to make improvements, we want to know how to better serve you. To complete our brief online survey, simply fill out the form to the right and click 'Submit'.

Specifics About Your Visit
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Name Of Physician

Date Of Your Visit

Time of Your Visit

General Questions
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Were you greeted promptly upon arrival?
Yes No
Was the check-in process satisfactory?
Yes No
Was your insurance handled properly?
Yes No
Were your child's needs properly addressed?
Yes No
Did the physician communicate effectively?
Yes No
Would you recommend the physician to a friend?
Yes No
Do you use our website for online services?
Yes No
How would you rate your overall experience?

May We Contact You?
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Your Name

Your Child's Name

Your E-Mail Address

Best Number to Reach You
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Additional Feedback / Comments