Skip to main content

Table 1 Questionnaire used in the evaluation of patient or guardian experience following face-to-face or telemedicine medical care

From: Patient and family experience with telemedicine and in-person pediatric and obstetric ambulatory encounters throughout 2020, during the COVID-19 epidemic: the distance effect

#

Question

1

Care provider's discussion of any proposed treatment (options, risks, benefits, etc.)

2

Care provider's efforts to include you in decisions about your treatment

3

Concern the care provider showed for your questions or worries

4

Concern the nurse/assistant showed for your problem

5

Courtesy of staff in the registration area

6

Degree to which you were informed about any delays

7

Ease of contacting (e.g., email, phone, web portal) the clinic

8

Ease of scheduling your appointment

9

Explanations the care provider gave you about your problem or condition

10

How well staff protected your safety (by washing hands, wearing gloves, etc.)

11

How well staff worked together to care for you

12

How well the nurse/assistant listened to you

13

Likelihood of your recommending our practice to others

14

Likelihood of your recommending this care provider to others

15

Our concern for your privacy

16

Wait time at clinic (from arriving to leaving)