Appointment InformationMy child was seen on* My child's appointment was:*During sick callAn appointment with physicianNurse visitWhy did you visit The Children's Clinic*Well visit/ImmunizationsSick call visitFollow up appointmentMy child was illMy child saw*Dr. Stephen AshodianDr. Greg BuxtonDr. Angela EdwardsDr. Roehl JohnsonDr. Charles KempDr. David MatthewsDr. Kevin RouseDr. Phyllis SkaugDr. Warren SkaugDr. Jane SneedMelissa Carter, APNKellie Cox, APNStacey George, APNAmber Sloan, APNOtherAppointment & WaitingPlease rank from 1-5 (5 being the best)The office staff was helpful and courteous.*1 (very unsatisfied)2 (unsatisfied)3 (neutral or no opinion)4 (satisfied)5 (very statisfied)I was able to schedule an appointment in a timely manner.*1 (very unsatisfied)2 (unsatisfied)3 (neutral or no opinion)4 (satisfied)5 (very statisfied)The waiting areas were welcoming, clean, and comfortable*1 (very unsatisfied)2 (unsatisfied)3 (neutral or no opinion)4 (satisfied)5 (very statisfied)My child's appointement started and ended on time.*1 (very unsatisfied)2 (unsatisfied)3 (neutral or no opinion)4 (satisfied)5 (very statisfied)My child's doctor or APN was/were helpful and courteous.*1 (very unsatisfied)2 (unsatisfied)3 (neutral or no opinion)4 (satisfied)5 (very statisfied)Services not requiredIf applicable, How would you rate the service and professionalism of the nursing staff?*1 (very unsatisfied)2 (unsatisfied)3 (neutral or no opinion)4 (satisfied)5 (very statisfied)Services not requiredIf applicable, How would you rate the service and professionalism of the lab work or x-ray technicians?*1 (very unsatisfied)2 (unsatisfied)3 (neutral or no opinion)4 (satisfied)5 (very statisfied)Lab services were not requiredI would recommend The Children's Clinic to my friends and family.*1 (No)2 (Not likely)3 (neutral or no opinion)4 (Possibly)5 (Yes)General QuestionsHow long did you have to wait to be seen by a doctor/nurse?*What did you like most about your visit to our office?*What did you like least about your visit to our office?*What can we do to make future visits better for you and your child?*We welcome your questions or comments.Optional Contact InformationIf you would like for The Children's Clinic to respond to your comments, please provide your information below.Name First Last PhoneEmail Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code May we use your comments as a testimoninal on our website or other materials?YesNoYour first name and town will be public. Your child's name will not be viewed by the public. [divider_top]