Templates
Hospital Patient Satisfaction Survey Sample

Hospital Patient Satisfaction Survey Sample

This hospital patient satisfaction survey sample can be implemented by medical secretaries or clinic workers to assess patient satisfaction.

Use this template
or download pdf
Hospital Patient Satisfaction Survey Sample

This hospital patient satisfaction survey sample can be implemented by medical secretaries or clinic workers to assess patient satisfaction.

Use this template
or download pdf

About the 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.

Related categories

Preview of the template
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?
This template was downloaded 25 times
This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.