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Healthcare is vital and patients trust their providers with their lives, fostering a close relationship. Patient voices play a critical role in helping healthcare facilities deliver care in a systematic and fulfilling manner.
However, there can be a disparity between what healthcare providers offer and patient satisfaction levels. To address this, healthcare survey templates can be a great tool to gather feedback, fill gaps, and improve care delivery.
In this blog, we will explore 18 different types of healthcare surveys that healthcare professionals can use for their varied needs. Whether it is a survey that focuses on collecting COVID-related feedback or patient experience in the hospital, a well-designed survey can help healthcare providers understand patient requirements and improve to give the best patient care.
Let us delve into the world of health surveys and learn more about the different types of surveys that can benefit healthcare providers in health assessment Questions and gathering patient feedback.
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Top Healthcare Survey Templates to Improve Patient Satisfaction
Online healthcare surveys and feedback forms can be the tool you use to collect critical information. Be it for inpatient/outpatient experience forms, surveys for healthcare professionals, patient satisfaction, mental health check-in, or coronavirus assessment and screening, a feedback form or survey can help collect vital information from patients and healthcare providers alike.
And if you wish to collect feedback through any type of healthcare survey, Zonka Feedback is the patient feedback software for you. It offers a wide range of healthcare surveys to help you get started in minutes. Let’s read a bit about them.
1. Post Discharge Inpatient Satisfaction Survey
Every healthcare institute needs to measure the experience of its patients post-discharge. A post-discharge inpatient survey can come in handy if you want to collect feedback not just about the treatment your patients received but also about how their stay was throughout the treatment.
When to use this template?
Post-discharge inpatient satisfaction survey can be used if you want to understand the staff's efficiency, their friendliness towards the patients, the availability of medicines at the hospital pharmacy, and much more. The survey targets patients, visitors, and the relatives of patients.
Questions in this template
The survey contains questions about cleanliness, food, ward facilities, staff attitude, inquiry service, admission/discharge, and billing. It also asks about the likelihood of recommending the hospital to others and any other comments one would like to add.
Post Discharge Inpatient Satisfaction Survey Questions
- How was your stay at the hospital?
- How was the ambiance at the hospital?
- How would you rate the ward facilities?
- How were the food and diet served to you during your stay?
- How would you rate the toilets and changing rooms in the hospital?
- How would you rate the attitude and service of the attending doctor?
- How would you rate the billing process at the hospital during discharge?
- How was the reception and inquiry service?
- How would you rate the admission process?
- How would you rate the discharge process?
- How was your overall experience at the hospital?
- Based on your stay at the hospital, how likely are you to recommend this hospital to your friends and family?
2. Post-Visit Hospital Outpatient Satisfaction Survey Template
Through post-visit hospital outpatient satisfaction survey, you can get valuable insights on the type of care or experience a patient has overall. It gives a real-time experience of outpatients coming in for check-ups or doctor appointments.
When to use this template?
Post-visit outpatient satisfaction surveys can be used if you want to understand the overall experience of the patient and improve on the areas that need special attention.
Questions in this template
Questions in this survey center around the information provided before the appointment, timelines of the prescription by the doctor, respect for privacy, and more. It also asks the patients about their likes and dislikes about the entire process.
Post-Visit Hospital Outpatient Satisfaction Survey Questions
- Rate the information provided to you prior to your appointment at the clinic.
- How was the promptness and efficiency of your appointment?
- What is your feedback about the information given to you immediately after your appointment?
- What do you think about the timeliness of the letter and prescription received by the doctor after your appointment?
- Did you feel that the staff respected your privacy and dignity during your visit and appointment today?
- Was there anything that you particularly LIKED?
- Was there anything that you particularly LIKED?
3. COVID-19 Screening Checklist
Every day many people enter a particular premise. In the wake of the COVID-19 pandemic, it is essential that necessary precautions such as screening individuals are performed diligently to ensure the safety of the people. The COVID-19 screening checklist can come in handy for this purpose.
When to use this template?
The COVID-19 checklist survey can be extremely helpful to gather data about individuals who have symptoms of the disease while visiting the premises. They can then track the visitors and ensure the safety of others.
Questions in this template
Questions in this survey template ask individuals about their details, if they’ve taken COVID-related preventive measures, and have any symptoms. It also asks if the person is an employee or visitor and if they have come in contact with anyone infected with the virus.
COVID-19 Screening Checklist Survey Questions
- Has the individual washed their hands or used antiseptic?
- Does the individual have any of the following symptoms? Check all that apply.
- Fever
- Cough
- Shortness of breath
- Persistent pain in the chest
- No symptoms
- Is this person an employee?
- Please check their temperature and enter the result.
- Has the individual been in contact with someone that was infected, suspected, or diagnosed with COVID-19?
View COVID-19 Screening Checklist
4. Survey for Healthcare Professionals in COVID-19 Affected Areas
With this survey for healthcare professionals in the COVID-19 affected areas template, you can get an insider’s view on the preparedness of healthcare workers. You can offer training, additional resources, and more to the institute or healthcare professionals based on the data collected from this survey.
When to use this template?
Survey template for healthcare professionals in COVID-19 affected areas can be used if you want to know the preparedness of healthcare workers. This data can help you take the required precautionary measures to ensure the safety of the healthcare professionals.
Questions in this template
Questions in this template range from details of the professionals, the facility's preparedness, and the individuals' readiness to tackle the COVID-19 cases. You can also get data about the availability of professionals to handle the cases, safety measures taken, and more through this template.
Survey for Healthcare Professionals in COVID-19 Affected Areas
- Have there been any known or suspected COVID-19 virus cases in the facility you work in?
- Is your facility equipped to handle cases of COVID-19?
- Have you been given training to handle known or suspected cases of COVID-19?
- Do you feel prepared to care for patients with COVID-19?
- Have you personally dealt with a known or suspected COVID-19 patient?
- Has your facility done enough to ensure your safety?
- Have you been instructed on what to do if you feel you've been exposed to a known or suspected COVID-19 patient?
- Has your facility offered you additional compensation or benefits during the duration of the COVID-19 epidemic?
5. Hospital Patient Satisfaction Survey Template
Knowing a patient’s satisfaction level with the hospital is crucial. It helps determine the quality of care & treatment offered. This data from the hospital patient satisfaction survey template can then be beneficial in enhancing care.
When to use this template?
Use this hospital patient satisfaction survey template if you want to understand how satisfied your patients are with your service. This template can be the best choice if you want to get an idea about the areas that need improvement. You can identify the gap between what the patients expect from the hospital and the quality of care delivered and work on it.
Questions in this template
Questions in this template range from knowing the quality of treatment given by the hospital, staff's behavior, patient experience and more.
Hospital Patient Satisfaction Survey Questions
- How would you rate the quality of treatment and care at our facility?
- How would you rate the staff’s friendliness and helpfulness?
- How would you rate the overall care during your stay?
- How would you rate the cleanliness and infrastructure of our facility?
- How would you describe your experience with our healthcare services?
6. Employee Wellness Survey Template
Knowing and keeping a tab on the wellness of your employees is crucial to boosting the relationship you share with them. Employee wellness survey has become extremely important during the present times of remote working when employees are more likely to feel burned out and stressed due to lack of social connect.
When to use this template?
You can use employee wellness survey template if you want to learn about the emotional, social, physical, and mental well being of your employees. Whether they are drained out due to their work or feel motivated - you can get an idea by using this template. You can also use this template to know what the employees seek from their remote work set-up and deliver something similar to show care.
Questions in this template
Questions in this template revolve around the mental well-being of your employees. How they feel, their emotional resilience, self-acceptance, work environment comfort, the impact of remote working on health etc. can be gauged through this template.
Employee Wellness Survey Template
- Overall, how well and whole do you feel (emotionally, physically, socially and spiritually)?
- Do you feel emotionally strong and resilient?
- Do you recognize the impact of your actions on your work and home environment?
- Do you spend time outdoors enjoying nature?
- Are you intellectually stimulated by your work and non-work activities?
- Can you critically consider the opinions and information presented by others and provide constructive feedback?
- Do you look for ways to use your creativity and critical thinking skills?
- Do you get personal satisfaction and enrichment from work?
- Do you protect yourself and others from getting ill by washing hands, covering mouth while coughing, etc.)?
- Are you able to maintain healthy relationships with friends and loved ones?
7. COVID 19 Assessment Survey Template
Considering how dreadful the situations were due to surging COVID cases, every organization need to keep a check on the health status of the people who visit its premises. COVID-19 assessment survey template can come in handy to check the overall health of individuals.
When to use this template?
COVID-19 assessment survey template can help you assess the health status of individuals visiting and if they have taken all the precautions to slow down the spread of the virus. You can use COVID-19 assessment survey template to diagnose the symptoms and offer a quicker solution or cure for people. The data provided by the survey submissions can be used to assess who needs treatment and what type of care they need at large.
Questions in this template
Questions in this template assess the visitors suitability to enter the building and if they have taken all the required precautions or not.
COVID-19 Assessment Survey Questions
- Have you recently traveled outside the country?
- Does you have any of the following symptoms? Check all that apply.
- Fever
- Cough
- Shortness of breath
- Persistent pain in the chest
- No symptoms
- Have you been tested at the airport or hospital?
- Do you work in high risk occupation (healthcare/assisted-living/military institutions/aged-care facility)?
- Has the individual been in contact with someone that was infected, suspected, or diagnosed with COVID-19?
- How many people have you come in contact in last 15 days?
8. Dental Patient Satisfaction Survey Template
Dental hospitals need to ensure that their patients leave with a smile on their face, not just from the treatment offered but also from their experience. And one way to improve the overall experience at your dental clinic can be by collecting dental patient feedback.
When to use this template?
You can use the dental patient satisfaction survey template to know how satisfied your patients are with your services and the scope for improvement. You can customize the template to know more about the factors that your patients liked for a recommendation
Questions in this template
The template asks questions about patient's experience and how satisfied they are with the services offered. They can share feedback about the dentist, checkup process, and the likelihood of recommending the dentist to their friends and family.
Dental Patient Satisfaction Survey Questions
- How did you first hear about us?
- How often do you go to a dentist for a checkup?
- Did the dentist give clear explanation of treatment and options?
- How much time did it take for the surgery or procedure to complete?
- How was the quality of the service provided?
- How likely are you to recommend us to your friends & family?
- What factors drive you to come to our practice for your treatment?
- Are there any improvements you'd like us to make or any procedures you'd like us to introduce here?
View Dental Patient Satisfaction Survey Template
9. Healthcare Insurance Survey Template
People take the health insurance claims in times of distress, and offering a hassle-free claim settlement experience is imperative in such cases. Healthcare insurance survey template can help gather people's feedback about the process, assistance, customer service, and more.
When to use this template?
If you want to collect feedback regarding your client's satisfaction with their healthcare insurance plans, healthcare insurance survey template is the best template that you can use.
Questions in this template
Questions in this template are about the promptness in attending to the concerns, settling the claim, and the accessibility. Survey taker can also rate the insurance agent’s behavior in terms of helpfulness, promptness, knowledge, and more.
Healthcare Insurance Survey Survey Questions
- How quickly were your concerns regarding the claim attended to by our team?
- How quickly were your claims resolved by our team?
- Overall, how do you feel about accessibility of the customer service representative?
- How reasonable do you think are our company's health insurance rates?
- Overall, how satisfied with our health insurance services?
- Based on your experience with our company, how likely are you to recommend subscribing to our plans to your friends and family?
- Do you plan to renew your health insurance with us?
10. Patient Feedback about Doctor Survey Template
Getting complete insights into how the doctors treat their patients and the type of experience patients have with their physicians can help deliver better care. Patients usually have a one-to-one interaction with the doctor. This makes it difficult to assess their interaction or experience. Asking them to fill out the feedback form made using the patient feedback about the doctor survey template can help you gain clarity.
When to use this template?
Use patient feedback about doctor template to know how satisfied your patients are with the doctors. This template can help you understand the behavior of the doctors on different parameters like politeness, comfort, explanation of the condition, treatment and more. You can also use this feedback survey to determine the likelihood of getting a recommendation from your patients and what you can improve to increase the recommendation rate.
Questions in this template
Questions in this template are about the behavior of doctors towards the patients and how well did they meet the patient expectations.
Patient Feedback about Doctor Survey Questions
- What is the reason for your visit today?
- Based on your experience today, how good was your doctor on each of the following parameters?
- Politeness
- Listening to you
- Explaining your condition
- Discussing your treatment
- Based on your experience today, how likely are you to recommend this doctor to your friends and family?
- Would you like to share any comments and suggestions about your experience today?
View Patient Feedback about Doctor Survey Template
11. Coronavirus Survey Template for Leadership and HR
The coronavirus pandemic has created chaos amid the business and forced everyone to work from their homes during the lockdowns. Taking critical business decisions on conducting operations and ensuring business continuity is important. This is where you can use the coronavirus survey template for leadership and HR
When to use this template?
Use this template to collect important data about your employee's reactions to the current pandemic situation. You can know if your employees can work effectively, challenges they are facing in remote work set up, the longevity of the work-from-home arrangement, and more. The data collected from this survey can enable you to make critical business continuity and operations decisions.
Questions in this template
Questions in this template range from impact of coronavirus to the challenges of working remotely.
Coronavirus Survey Questions for Leadership and HR
- How concerned are you about the effects of the coronavirus on you?
- How concerned are you about the potential impact of the coronavirus on your business?
- How easy or difficult do you find it nowadays to work effectively?
- What are the most challenging aspects of working remotely for you?
- How long do you think you'll be able to keep up with your current work from home arrangements?
- How often would you like the leadership team to communicate how your company will handle business complications due to coronavirus?
- How confident are you that you have the right support network outside of work to help you get through this difficult time?
- What is your single greatest work-related concern right now?
View Coronavirus Survey Template For Leadership And HR
12. Healthcare Employee Satisfaction Survey Template
Those working in the healthcare industry have been fighting the deadly virus at the frontline. You must know their satisfaction level in the work environment.
When to use this template?
You can use healthcare employee satisfaction survey template for an actionable report that has data about the dedication and motivation of healthcare employees.
Questions in this template
Questions in this template collect the employee occupation and the performance of departmental communication during COVID times and suggestions on improvements.
Healthcare Employee Satisfaction Survey Questions
- What is your occupation?
- How pleased are you with departmental communication?
- What are some improvements you'd like to see?
- How satisfied are you and your team with the resources available to you?
View Healthcare Employee Satisfaction Survey Template
13. Healthcare Expenses Survey Template
To get insights on the healthcare expenses, it is essential that organizations have a collective data on it. By analyzing the data, healthcare facilities can ensure that the patients are getting the best of healthcare facilities without any expense problem.
When to use this template?
This template works best when you want to know how patients are managing hospital expenses. Moreover, you can get a clear understanding or a clearer picture of the monthly spending of individuals on the healthcare facility.
Questions in this template
Questions center around who is paying the healthcare expenses of individuals, whether it is the local/state government, their employer, or if they are funding it themselves, how much amount they pay as premium, deductible, copay, or co-insurance fees for their healthcare each month and so on.
Healthcare Expenses Survey Questions
- Who pays for your health insurance?
- In a typical month, how much do you spend on health insurance premiums, deductibles, copays, and co-insurance fees in US dollars?
- Has a lack of funds prevented you from seeing a doctor in the last year?
View Healthcare Expenses Survey Template
14. Mental Health History Questionnaire Template
Offering the right treatment plan to those with any mental illness can help them get better more effectively. This will also help you increase patient satisfaction rate and overall experience.
When to use this template?
With the mental health history questionnaire template, you can collect mental health history information of patients and provide plans accordingly. You can add the required questions that you want to add to the survey template and get a better insight.
Questions in this template
Questions of mental health history will range from the psychiatric medications to how the patient is currently feeling.
Mental Health History Survey Questions
- When did your illness start?
- What are your main symptoms?
- Have you been previously diagnosed with any illness?
- Have you been on a psychiatric medication previously?
- How long have you been on medication?
15. Mental Health Survey Template
Knowing the mental health of a person is crucial to offer better treatment. With Zonka’s mental health survey template, you can ask those visiting your clinic or hospital about their current mental health.
When to use this template?
This mental health survey template can help you assess the mental health of your patients better and help you devise an effective treatment.
Questions in this template
Questions range from obtaining information on the last time patients had a mental examination, number of times they’ve felt sad or depressed, how their mental health has hampered or interfered with their personal lives, and how would they rate their overall mental health.
Healthcare Employee Satisfaction Survey Questions
- When was the last time you had a mental health examination?
- How often have you felt sad or depressed in the last two weeks?
- How often has your mental health interfered with your personal relationships in the last two weeks?
- How would you rate your mental health in general?
View Mental Health Survey Template
16. Student Mental Health Check-in Survey Template
With so much going around in the world since the pandemic, students might feel uncertain about their future. This could take a toll on their mental health. This is where student mental health check in survey comes in light.
When to use this template?
You can use the student mental health check-in survey template to keep a tab on the mental health of students. Through this survey, you can also ask how they feel about everything around them and if they feel they need to talk about it.
Questions in this template
Questions in this template revolve around mental health of students and their interaction with their surroundings.
Student Mental Health Check-in Survey Questions
- Are the topics you are learning at school easy to understand and follow?
- Do you seek assistance from your teachers if you have questions about your work or become stuck?
- Do you have a routine that helps you to learn?
- Do you go outside for a walk for half an hour or more every day?
- Do you feel you have someone to talk?
- Do you think about how Covid has affected your education?
- Is there anything else you want to share?
View Student Mental Health Check-in Survey Template
17. Student Stress Questionnaire Template
Stress has not only made home in the minds of working professionals but also young students. Whether it is academic stress or personal, students are not untouched by it. It is important to stay aware of the levels of stress your students are facing.
When to use this template?
You can use this template to know how stressed students are, what is the cause of it, how many times are they feeling, and what do they do to relax themselves. Once you have these data, you can implement steps to improve their condition.
Questions in this template
Questions in this template center around stress that students feel and how are they coping up with it.
Student Stress Questionnaire
- Do you feel stressed on a regular basis?
- What do you do to relax your stress?
- Do you want to tell us something more?
- How frequently do you feel stressed during an academic year?
- What are the causes of stress in your life?
- Does stress have a negative impact on your studies?
- When under stress who do you go for help?
View Student Stress Questionnaire Template
18. Doctor Registration Form Template
Doctors are the most important healthcare professionals. As a healthcare organization that wants to offer premium patient care, it is essential that the records of doctors is well maintained.
When to use this template?
Use this template to maintain the record of a new doctor that has joined your organization.
Questions in this template
This template has questions seeking details of the doctors such as name, specialization, association with any medical organization, and so on.
Doctor Registration Form Survey Questions
- What is your name?
- What is your area of specialization?
- Are you a member of any other medical association?
View Doctor Registration Form Template
Conclusion
These were some of the common healthcare survey templates that you might need to use when working in the healthcare industry. Zonka Feedback covers everything from inpatients and outpatients in the hospital to COVID-19 screening & assessment to mental health, healthcare expenses, insurance, and more.
You can simply sign up for a free trial with Zonka Feedback and send out the surveys using the templates in a matter of minutes. These survey templates can help you quickly collect feedback and work on the data to improve the healthcare services and care delivered.
