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Hospital Patient Satisfaction Survey Sample

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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
Rated 5/5 stars on Capterra
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Hospital Patient Satisfaction Survey Sample

Patient Satisfaction

Since when are you a patient here?

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

• Location

• Clinic hours

• Parking

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?