TofuSurveys
Healthcare 12 questions · 5-7 minutes · intermediate

Healthcare Patient Experience Survey Questions

Measure patient experience across all touchpoints of their healthcare journey. Evaluate provider communication, wait times, facility quality, and care coordination.

Questions

1

How would you rate your overall experience at our facility?

Rating (1-5) · Required
2

How easy was it to schedule your appointment?

Rating (1-5) · Required
3

How long did you wait past your appointment time?

  • Seen on time
  • Less than 15 minutes
  • 15-30 minutes
  • 30-60 minutes
  • More than 60 minutes
Multiple Choice · Required
4

How friendly and helpful was the front desk staff?

Rating (1-5) · Required
5

How well did your provider listen to your concerns?

Rating (1-5) · Required
6

How clearly did your provider explain your condition and treatment?

Rating (1-5) · Required
7

Did your provider spend enough time with you?

Rating (1-5) · Required
8

How clean and comfortable was the facility?

Rating (1-5) · Required
9

How well were your questions answered?

Rating (1-5) · Required
10

Were you given clear instructions for follow-up care?

  • Yes, very clear
  • Somewhat clear
  • Not clear
  • No instructions given
  • Not applicable
Multiple Choice · Required
11

How likely are you to recommend our practice to friends or family?

NPS (0-10) · Required
12

Is there anything we could have done to improve your visit?

Long Text

Template Info

Questions
12
Est. Time
5-7 minutes
Difficulty
intermediate
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Tags

healthcarepatient experiencemedical practiceclinic

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