Table 1.

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

#	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)