Patient Satisfaction Survey Template

Questions in Patient Satisfaction Survey Template

1. Please rate your satisfaction with the care provided during your visit?

This question helps gauge patients' overall experience and contentment with the medical care they received, providing a clear picture of care quality.

1. How well did the healthcare providers communicate with you?

• Very Poor

• Poor

• Average

• Good

• Excellent

Effective communication is essential in healthcare. This question measures how clearly the provider conveyed information, impacting patient understanding and trust.

1. Please rate your satisfaction with the following aspects: Wait Time, Staff Friendliness, Cleanliness, & Clarity of Communication

• Very Poor

• Poor

• Average

• Good

• Excellent

By assessing multiple aspects, this question provides detailed insights into key areas affecting the patient experience, from environment to staff interaction.

1. Are you satisfied with the follow-up care after your visit?

• Yes

• No

Follow-up care ensures continuity in treatment. This question evaluates patient satisfaction with ongoing support, crucial for long-term health outcomes.

1. To what extent do you agree or disagree with the following statement? It was easy for me to schedule the appointment

• Strongly Disagree

• Disagree

• Somewhat Disagree

• Neutral

• Somewhat Agree

• Agree

Accessibility is a major factor in healthcare. This question identifies potential barriers in appointment scheduling, aiding in process improvements.

1. How likely are you to recommend us to a friend or colleague?

This question gauges patient loyalty and overall satisfaction, helping identify areas for improvement in patient care.

1. Is there anything we can do to improve your satisfaction as a patient?

Open-ended feedback helps in understanding individual needs and preferences, offering a personalized approach to enhance patient care.

Customizing the Questions in the Patient Satisfaction Survey Template

Customizing existing questions in the Patient Satisfaction Survey Template helps healthcare providers adapt questions to specific patient needs, care settings, and services, ensuring relevance without adding new questions.

• “Please rate your satisfaction with the care provided during your visit.”

  • By Care Type: Specify the type of care (e.g., primary or emergency care).

    • Example: “Please rate your satisfaction with the primary care provided during your visit.”

  • For Repeat Visits: Add a timeframe for returning patients.

    • Example: “Please rate your satisfaction with the care during your most recent visit.”

• “How well did the healthcare provider communicate with you?”

  • By Appointment Type: Indicate in-person or telehealth to clarify context.

    • Example: “How well did the provider communicate with you during your telehealth session?”

  • For Language Accessibility: Assess communication in patients’ preferred languages.

    • Example: “How well did the provider communicate with you in a language you understood?”

• “Please rate your satisfaction with the following aspects: Wait Time, Staff Friendliness, Cleanliness, & Clarity of Communication.”

  • For Urgent Care: Emphasize timeliness and clarity.

    • Example: “Please rate your satisfaction with wait time and communication during your urgent care visit.”

  • Detailing Cleanliness: Specify areas like patient rooms or waiting areas.

    • Example: “Rate your satisfaction with the cleanliness of the waiting area.”

• “Are you satisfied with the follow-up care after your visit?”

  • For Post-Surgery: Tailor for specific post-surgical follow-up.

    • Example: “Are you satisfied with the follow-up care after your surgical procedure?”

  • Chronic Care: Address ongoing support for chronic conditions.

    • Example: “Are you satisfied with the follow-up for managing your chronic condition?”

• “To what extent do you agree or disagree with the following statement? It was easy for me to schedule the appointment.”

  • By Appointment Type: Specify initial or follow-up appointments.

    • Example: “It was easy to schedule my follow-up appointment.”

  • For Telehealth: Customize for virtual scheduling.

    • Example: “It was easy to schedule a telehealth appointment.”

• ''How likely are you to recommend us to a friend or colleague?''

  • Reference the Recent Visit: Make the question more specific by referencing the patient’s recent experience, encouraging them to think about their latest visit.

    • Example: “How likely are you to recommend our healthcare facility to a friend or colleague based on your recent visit?”

  • Specify Service or Care Type: Tailor the question to reflect the type of service or care received, such as primary care or emergency care.

    • Example: “How likely are you to recommend our emergency care services to a friend or family member?”

• “Is there anything we can do to improve your satisfaction as a patient?”

  • Specific Process Feedback: Request feedback on particular areas like registration.

    • Example: “Is there anything we can improve in our registration process?”

  • Telehealth Services: Focus on improvements for virtual care.

    • Example: “Is there anything we can improve in our telehealth services?”

Additional Questions in the Template

Enhancing the Patient Satisfaction Survey Template with targeted questions allows healthcare providers to gather more relevant feedback across different patient demographics, types of care, and healthcare settings. Here’s how to align the survey with specific requirements and improve the patient experience:

Based on Type of Care

• Primary Care: Address aspects like continuity of care, preventive services, and ease of follow-up.

  • Example: “Did you feel that your primary care provider took the time to understand your overall health needs?”

• Emergency Care: Focus on promptness, availability of critical care, and clarity in communication during high-stress situations.

  • Example: “How satisfied were you with the time it took to receive care in the emergency department?”

For Patient Demographics

• Age Group-Specific: Adapt questions for pediatric, adult, and elderly patients to address age-specific concerns.

  • Example for pediatric care: “Did the healthcare staff make your child feel comfortable and safe during the visit?”

• Cultural and Language Sensitivity: Make questions culturally appropriate and offer surveys in multiple languages to cater to diverse populations.

  • Example: “Were language options and cultural accommodations provided during your care?”

Based on Healthcare Settings

• Inpatient vs. Outpatient Settings: Reflect unique aspects of these settings, such as hospital stay quality for inpatients and appointment scheduling for outpatients.

  • Inpatient Example: “How comfortable was your hospital room and accommodations during your stay?”

  • Outpatient Example: “How easy was it to get in touch with staff before your appointment?”

• Telehealth Services: Address the virtual care experience, including ease of accessing the virtual appointment and clarity of online communication.

  • Example: “How easy was it to access your virtual appointment, and did the provider communicate effectively during the session?”

For Specialty Care Needs

• Chronic Disease Management: For patients with chronic conditions, include questions on care continuity, patient education, and access to resources.

  • Example: “Did you receive clear information on managing your chronic condition and access to resources for ongoing support?”

• Surgical Care: Address specific concerns for surgical patients, such as pre- and post-surgery communication and follow-up care.

  • Example: “Did the surgical team provide you with all necessary information about the procedure and recovery expectations?”

Follow-Up and Improvement-Oriented Areas

• Follow-Up Engagement: Add questions on follow-up communication and resources for continued care.

  • Example: “Were you satisfied with the information provided about follow-up appointments and care post-visit?”

• Improvement Feedback: Seek suggestions to understand patient needs more deeply.

  • Example: “What additional support or resources would improve your healthcare experience with us?”