Measuring Patient Satisfaction

DESCRIPTION:

For your convenience and ease of reference, we have created a template of Medical Patient Satisfaction Survey. You can use this template as such or modify it to suit your needs. Alternatively, you can design your own survey from scratch.


In which department were you seen by a health care provider in your recent visit to the hospital?








Any other, please specify

Please specify your gender.


How much time do you have to usually wait before you can see the healthcare provider?

How many times have you availed the healthcare facilities offered by our hospital in the past?

What would you say about the person handling the phone queries?

Other

Are you able to schedule your appointment in a reasonable amount of time?



Other

What do think regarding the hospital’s facilities in the following areas?:The staff gives clear information




What do think regarding the hospital’s facilities in the following areas?:The staff is well informed and knowledgeable




What do think regarding the hospital’s facilities in the following areas?:The appointment times are usually convenient




What do think regarding the hospital’s facilities in the following areas?:The interaction with the healthcare providers is good




What do think regarding the hospital’s facilities in the following areas?:The billing procedures are hassle free




What do think regarding the hospital’s facilities in the following areas?:The referrals to a specialist are handled in a timely way




What do think regarding the hospital’s facilities in the following areas?:The patients are the top priority for the hospital staff




How did you find our healthcare provider(s) in the following areas?:He/She listened to your problems and showed concern for those problems





How did you find our healthcare provider(s) in the following areas?:He/She explained the things to you in a way you would understand





How did you find our healthcare provider(s) in the following areas?:He/She was very patient and discussed your problem in detail





Which age group do you fall into?







What will be the reason for you to refer a friend or family members to our hospital?