Please Take Our 2016 Survey!

Oregon Pediatrics wants to hear from you! Your feedback is important to us.


We are conducting a survey so that we can provide the best possible care for your family. The survey will take about 15 minutes to complete.


Each family that completes the survey will be entered to win an Apple Watch™ Sport 38mm or $100 Target gift card. Surveys must be completed by October 31, 2016. The drawing will take place November 15, 2016. Please see form below for additional rules.


Oregon Pediatrics is a proud member of the Children’s Health Alliance and Children’s Health Foundation, an association of pediatricians that work together to improve children’s health in Oregon. We are working with the Children’s Health Alliance to conduct this survey.


Your Privacy is Protected. All information that would let someone identify you or your family will be kept private. We will not share your personal information with anyone without your OK. Your responses to this survey are also completely confidential.


Your Participation is Voluntary. You may choose to complete this survey or not. If you choose not to, this will not affect your health care at our clinic.


If you want to know more about this survey, please contact the clinic manager.

Oregon Pediatrics Survey 2016 (English – pdf file)Oregon Pediatrics Survey 2016 (Espanol – pdf file)

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