Car Safe Kids Post-Checkup Survey Thank you for completing this survey! Your insights will help us to better serve the community. Positive feedback is also helpful for communicating to our hospital partners the ongoing value of our program. Date of Checkup EventMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031202320232025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Location of Checkup Event Evergreen Hospital Seattle Children’s Hospital Other How long did you wait? Count from when you parked until a checker began your checkup. 0 to 15 minutes Over 15 minutes but less than 30 minutes Over 30 minutes Was the checker who assisted you knowledgeable? Yes, very. Yes. Unsure. No, I was not confident in the checker’s skills. Was the checker respectful and kind? Yes, very. Yes. Unsure. No, I felt disrespected. Did the checker explain information clearly? Yes, very. Yes, somewhat, but I’m still a little confused. No, the checker wasn’t clear and/or my questions were not answered. How would you rate your knowledge of car seat use before attending the checkup? Complete novice. Fairly knowledgeable, but I had a few questions. Very knowledgeable. After the checkup, do you feel more confident in the use of your car seat? Yes, very much so. Yes, I feel a bit more confident. No, I’m still unsure. Would you recommend a car seat checkup to others who transport children? Yes, I’d strongly urge others to attend. I’m not sure. No, it would not be worthwhile. Is there anything else you'd like to add about your checkup experience? If you would like a message to be relayed to the checker, optionally add the checker's name.Please complete this form by clicking “submit.”
