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This Patient Satisfaction Survey Template helps medical professionals to instantly determine the grade of patient satisfaction on the provided medical care. Offer this survey through kiosks or mobile devices administered by employees.
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When I go to the doctor, they are careful to examine everything when treating and checking me
The medical care I have been getting was really good.
Doctors are not too serious and impersonal to me
Doctors do not make me question if their diagnosis is true.
I am certain that I can receive the medical care I need without being set back financially
Doctors describe the reason for medical tests well.
I have clear access to the medical specialists I need
I think my doctor's office has everything required to implement complete medical care.
Where I go for medical care, I do not have to wait too long for emergency medication
My doctors treat me in a very kind and polite manner
I have trust in the ability of the doctors who treat me.
I can get medical care whenever I need it.
Those who give me my medical care are not too much in a rush when they treat me
I do not have to pay more than I can afford/than necessary for my medical care
Doctors do not ignore what I tell them.
Doctors spend sufficient/plenty of time with me.
It's easy to get an appointment for medical care immediately.
I am happy with the medical care I got.
Patient's further comments:
Please note that this checklist template is a hypothetical 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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