Patient Satisfaction Questionnaire

Identify, measure and address performance gaps in the hospital or doctor's office by conducting apatient satisfaction survey using the Lumiform app.

Go paperless, conduct inspections easily and solve issues quicker with your teammates.

Rated 4.8/5 stars on Capterra
App StorePlay Store

Patient Satisfaction Survey Template

This Patient Satisfaction Survey Template helps medical professionals to instantly determine the grade of patient satisfaction.

Download template

Hospital: Patient Satisfaction

This Patient Satisfaction Questionnaire can be implemented by medical secretaries or clinic workers to assess patient satisfaction.

Download template

Patient Survey Template

This Patient Survey Template based on the HCAHPS Survey helps you to measure the quality of hospital care.

Download template

What is a Patient Satisfaction Survey Checklist?


Conducting a patient feedback survey is a substantial tool to collect patient feedback regarding your services and medical treatment. This ensures a smooth and satisfactory experience for your patients and secures your status as a top health care provider.



This article briefly discusses:


1. 3 steps to conduct a patient satisfaction questionnaire


2. Valuable tips for conducting sample patient satisfaction surveys



Measure your Patients' Satisfaction in 3 Easy Steps


Conducting an ideal Patient Survey can be demanding. These three steps deal with the :



1. Use simple questions


Try to be as precise possible when asking questions and make sure to utilize simple language to avoid confusion. The patient survey should help you gain insight into the patients' experience without taking too long and being too complicated.


2. Be empathetic


Make sure to ask questions in a friendly and courteous way, without sounding intrusive. The patient survey is a substantial part of a patients' experience, so it is recommended to show your appreciation for the patients' time and personal insight. It is recommended to include a free text field in the survey to make space for a personal remark or recommendation. On top of that, using available technologies will speed up the process and ensure a comfortable and smooth experience for the patient.



3. Cover all areas


It is advisable to cover all areas of a patients' experience (making the appointment, checking-in, waiting, examination etc. Make sure to analyze all steps of a patients' visit to your clinic and make a plan of the different stages, which you should interview your patient about.


Frequently asked questions during a patient survey are:


  • Would you recommend our clinic to others?

  • What could have been done better?

  • Did you have any issues while making an appointment?

  • Were you satisfied with the process upon arrival?

  • Did you have to wait a long time to see the doctor?

  • How much concern did the care provider show for your questions?

  • Did the doctor listen to you carefully ?

  • Rate your overall experience with this care provider.

  • Rate how well the staff took care for you.

  • Rate the friendliness/courtesy of the care provider.


Lumiform: Your Digital Tool for a Patient Satisfaction Survey


With Lumiform's mobile app, you can easily conduct any quality and safety check, report issues and assign corrective actions quickly to team members. Easy communication with all team members and third parties allows you to improve internal processes and solve issues up to four times faster.


Digitize checklists and internal procedures with Lumiform:


  • The flexible checklist builder from Lumiform helps you to convert any individual paper list into a digital checklist without much effort.

  • In addition, we offer more than 9,000 ready-made templates to help companies get started digitally in no time.

  • Using the super intuitive mobile App, you and your teammates conduct check in the field with ease and in no time.

  • All results, images and comments are automatically bundled in a digital report.

  • Comprehensive analyses help you to identify inefficient areas in your company more quickly and thus to continuously improve your auditing and inspection processes.