Hospital Patient Satisfaction Survey Sample
This Patient Satisfaction Questionnaire can be implemented by medical secretaries or clinic workers to assess patient satisfaction after a doctor’s appointment or after getting medical treatment.
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Cut inspection time by 50% Uncover more issues and solve them 4x faster Select from over 4000 expert-proofed templates Hospital Patient Satisfaction Survey Sample Patient Satisfaction Questionnaire Patient Satisfaction Since when are you a patient here? less than 1 year 1-2 years 3-5 years over 5 years If you are a new patient, how did you hear about us? Referred by another patient Referred by another physician Saw on an ad HMO or other insurance Other How convenient are we for you in the following fields? • Availability of personell to help you with your medical questions/concerns/problems very convenient somewhat convenient not convenient • Location very convenient somewhat convenient not convenient • Clinic hours very convenient somewhat convenient not convenient • Parking very convenient somewhat convenient not convenient Are you normally seen in a timely manner? Yes No When you came into the clinic, was the staff polite? Yes No When you called the clinic by phone the last time, were you treated politely by the team? Yes No When making your last appointment, did the workers make every attempt to give you a time and day that was suitable for you? Yes No Was it easy and comfortable to get an appointment? Yes No How genuinely interested we appear to be in you as a person. Always concerned Usually concerned Sometimes indifferent Never seem to have enough time Throughout your visits, do you think we sufficiently answered your questions? Yes No Are you content with the quality of medical treatment you get from us? Yes No On a scale of 1 to 5, (1-extremely poor, 5-excellent) how would you rank your overall experience with us and our clinic? 5 4 3 2 1
Please note that this checklist template is a hypothetical appuses-hero 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.