Toggle navigation 2025 Cook Children's Referring Provider Satisfaction Survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Practice Characteristics & Hospital Ratings idbkp 70 70 IPGL Location data from IP: IP address Country Region City Latitude Longitude Postal code Time zone Q1 Please provide the following: Your medical specialty: Your zip code: Q2 Percent of your patients that are pediatric: Only numbers may be entered in this field. % Q3 In your experience, when a pediatric referral choice is made, what percent of the time is it made by (sum to 100%): The sum must equal 100. Physician alone: % Physician and Parent: % Parent alone: % Referral Coordinator or Clinical Staff: % Remaining: 100 % Total: 0 % Q4 When making a referral, what percent of the time are the following factors considered: Insurance or Managed Care/HMO Plan: % Experience with physician referring to: % Availability of appointment: % Experience with facility: % Facility's location to patient: % Q5 Are you a member of the Cook Children's Physician Network (CCPN)? Choose one of the following answers Yes No No answer Q6 Your overall rating of each of the following hospitals and if you have referred there: Excellent Very Good Good Fair Poor Have Never Referred Here No answer 01. Children's Medical Center of Dallas/Children's Health - Dallas Excellent Very Good Good Fair Poor Have Never Referred Here No answer 02. Children's Medical Center of Dallas/Children's Health - Plano Excellent Very Good Good Fair Poor Have Never Referred Here No answer 03. Christus Santa Rosa Children's Hospital - San Antonio Excellent Very Good Good Fair Poor Have Never Referred Here No answer 04. Cook Children's Medical Center - Fort Worth Excellent Very Good Good Fair Poor Have Never Referred Here No answer 05. Cook Children's Medical Center - Prosper Excellent Very Good Good Fair Poor Have Never Referred Here No answer 06. Covenant Children's Hospital - Lubbock Excellent Very Good Good Fair Poor Have Never Referred Here No answer 07. Dell Children's Medical Center of Central Texas - Austin Excellent Very Good Good Fair Poor Have Never Referred Here No answer 08. McLane Children's Scott & White - Temple Excellent Very Good Good Fair Poor Have Never Referred Here No answer 09. Medical City Children's - Dallas/Frisco Excellent Very Good Good Fair Poor Have Never Referred Here No answer 10. Methodist Children's Hospital of San Antonio - San Antonio Excellent Very Good Good Fair Poor Have Never Referred Here No answer 11. Texas Children's Hospital - Houston Excellent Very Good Good Fair Poor Have Never Referred Here No answer 12. Texas Children's Hospital – North Austin Excellent Very Good Good Fair Poor Have Never Referred Here No answer 13. UMC Children's Hospital - Lubbock Excellent Very Good Good Fair Poor Have Never Referred Here No answer Previous Next Resume later Please confirm you want to clear your response? Exit and clear survey Resume later Exit and clear survey