Thank you for visiting Children's Harbor today. Please let us know your opinion of the services you received by completing and submitting the evaluation below.

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Children's Harbor Family Center

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Tell Us What You Think! (Please mark the appropriate response where 1 is poor and 5 is excellent)

Date of visit to our office:
The reception staff was professional and helpful.	Please Choose One 1 2 3 4 5
The reception area was comfortable and clean.	Please Choose One 1 2 3 4 5
We were prompt in serving you.	Please Choose One 1 2 3 4 5
The staff was courteous and friendly.	Please Choose One 1 2 3 4 5
The staff helped you accomplish your goals set for today.	Please Choose One 1 2 3 4 5
The staff seemed concerned and skilled in helping my family and me.	Please Choose One 1 2 3 4 5
Comments:
Overall, how satisfied are you with our service today?	Please Choose One Very Dissatisfied Dissatisfied Satisfied Very Satisfied
How you can help others! Many times you can help other families who are going through the same things you are by being an encourager to them. One way you can do this is by sharing your experiences in our newsletter, The Beacon. If you feel this is something you would like to do, please give us your name and phone number so we can contact you.
Name
Phone Number

Children's Harbor, Inc.
1 Our Children's Highway
Children's Harbor, AL 35010-8620
Phone: (334) 857-2133
Fax: (334) 857-2516

Children's Harbor Family Center
at Children's Hospital
1600 6th Avenue South, Suite 200
Birmingham, AL 35233-1711
Phone: (205) 939-6123
Fax: (205) 939-6313