Healthcare 10 questions · 4-5 minutes · intermediate
Patient Satisfaction Survey Questions
Measure patient experience and satisfaction with healthcare services. Covers appointment scheduling, wait times, provider communication, and overall care quality.
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 scheduled appointment time?
- No wait / On time
- Less than 15 minutes
- 15-30 minutes
- 30-60 minutes
- More than 60 minutes
Multiple Choice · Required
4
How well did the healthcare provider explain your condition and treatment?
Rating (1-5) · Required
5
How well did the healthcare provider listen to your concerns?
Rating (1-5) · Required
6
How courteous and respectful was the staff?
Rating (1-5) · Required
7
How clean and comfortable was the facility?
Rating (1-5)
8
Would you recommend our facility to friends or family?
- Definitely yes
- Probably yes
- Not sure
- Probably not
- Definitely not
Multiple Choice · Required
9
What did we do well during your visit?
Long Text
10
How can we improve your experience in the future?
Long Text
Template Info
- Questions
- 10
- Est. Time
- 4-5 minutes
- Difficulty
- intermediate
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Healthcare
More templates →Tags
healthcarepatientmedicalsatisfactioncare