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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. Determine how satisfied patients were when signing in and out, with the location, hours of operation, available parking spaces, etc. This assessment will help staff optimize their operations so patients choose your hospital as their primary treatment center.
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Patient Satisfaction Questionnaire
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?
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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.
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