close
lumiform
Lumiform Mobile audits & inspections
Get App Get App
Overview
Get an overview of the most important features in Lumiform.
Form builder
Create custom checklists and use logics to predefine workflows.
Mobile app
Quickly conduct inspections with the easy-to-use inspection app.
Issue resolution
Turn issues into corrective actions by collaborating with team members.
Results, reports & analytics
Share automatically generated reports and get in-depth analytics.
Administration
Easily adapt the Lumiform software to your complex organization structure.
Book a personal demo
Contact sales
By category
Cleaning Food Safety ISO Maintenance Quality Assurance Risk Assessment Workplace Safety View all templates
By industry
Hospitality Management Manufacturing Transport and Logistics Construction Retail Facility Management Health Care
Book a personal demo
Contact sales
By app use
Energy Audit App Quality Management System App Commercial cleaning app: simplify scheduling, tracking, and management! Free Daily Forklift Inspection App Vehicle Inspection App Mystery Shopper App View all app uses
By industry
Food & Hospitality Construction Manufacturing Retail Logistic & Transportation Facility Management Pharma & Chemistry View all industries
Book a personal demo
Contact sales
Checklists
5S Checklist Mystery Shopper Checklist BRC Audit Checklist Incoming Goods Inspection Checklist Safety Observation Report Checklist Restaurant Checklists for Standard Operating Procedure Social Worker Home Visit Checklist View all checklists
Guides
What is 5s in your company? Understanding ISO What Is ISO 9001? What is Kanban? What is Poka Yoke? What is the CE Marking? Child Care Observation Guide View all guides
Knowledge hub
Customer success stories
How businesses are using Lumiform successfully.
Infographics
A combination of data, facts or timelines with graphics for clear, visual hubs of information.
Videos
How to videos, demos and much more.
 
Help center
Get helpful tips on how to use Lumiform features.
FAQ
Take a look at frequently asked questions.
Lexicon
A glossary of all technical terms.
Book a personal demo
Contact sales

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.
Downloaded 25 times
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?
Share this template:

This post is also available in: Deutsch

Related Categories:

Related Checklists:

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.

Other Templates:

This site is registered on wpml.org as a development site. Switch to a production site key to remove this banner.