''amenities'' (quality of refreshments, toys, toilet and disabled facilities), ''consultant care'' (privacy, listening, use of plain language and involvement in decision making) and ''clinic care'' (cleanliness, courtesy and understanding the child's needs). Seventy nine of the 149 (53%) questionnaires were returned. Of the 79 children, 37 (47%) were male, 42 (53%) were female and 50 (63%) were less than 2 years of age. Satisfaction with clinical care was high (satisfaction score 4.6). Comments by parents suggested that teamwork and having sufficient time to discuss immunisation were important factors. In England lack of time to discuss immunisation with a health care professional is one of the commonest causes of dissatisfaction with the immunisation visit. 2 The ''amenities'' domain was the lowest scoring (satisfaction score 3.9). Important factors included lack of refreshments (the clinic is located some distance from the canteen) and problems with car parking. Car parking is important for parents with young children and this problem has been reported previously. 3 We suspect that it is an important issue in many paediatric outpatient departments. Similar surveys 4-6 have identified high levels of satisfaction with clinical care. This survey highlighted to us that non-clinical factors are important for patient experience and that small changes within the clinic can lead to perceptible improvements for patients.