If you are a new patient, how did you hear about us?
How convenient are we for you in the following fields?
• Availability of personell to help you with your medical questions/concerns/problems
• Clinic hours
Are you normally seen in a timely manner?
When you came into the clinic, was the staff polite?
When you called the clinic by phone the last time, were you treated politely by the team?
When making your last appointment, did the workers make every attempt to give you a time and day that was suitable for you?
Was it easy and comfortable to get an appointment?
How genuinely interested we appear to be in you as a person.
Throughout your visits, do you think we sufficiently answered your questions?
Are you content with the quality of medical treatment you get from us?
On a scale of 1 to 5, (1-extremely poor, 5-excellent) how would you rank your overall experience with us and our clinic?
What we can do to improve any of the above areas?
If there was one thing you could improve about your experience with this clinic, what would it be?
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
Please, finish the registration to access the content of the checklist.