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Healthcare survey questionnaire template

The objective of this healthcare survey template is to measure patient satisfaction, assess the quality of care provided, and evaluate the accessibility of the care services.

By gauging communication efficacy with healthcare providers, the survey aims to enhance healthcare outcomes and enrich the overall patient experience.

 
 
 

Healthcare survey

Example questions

Demographic Information

Overall Satisfaction

1. Rate your overall satisfaction with your healthcare experience
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  • 10

2. Was the wait time at the clinic reasonable?
3. Was the staff helpful and friendly?

Quality of Care

1. Was your healthcare provider knowledgeable?
2. Was your healthcare provider thorough in explaining your condition?
3. Was your healthcare provider attentive to your needs?
4. Was your healthcare provider respectful?

Access to Care

1. Was it easy to schedule an appointment?
2. Was the location of the clinic convenient?
3. Was the cost of care affordable?

Communication

1. Was the healthcare provider easy to reach?
2. Was the healthcare provider available for follow-up questions?
3. Was the healthcare provider responsive to your concerns?

Health Outcomes

1. Has your health improved since receiving care?
2. Were your health problems effectively addressed?
3. Were your health goals met?

Recommendation

Would you recommend this healthcare provider to a friend

Overall Feedback

Any additional comments or suggestions

Healthcare Survey Questionnaire Template Builder

LimeSurvey's healthcare survey builder creates surveys that provide valuable insights into patient satisfaction, helping you understand their needs and improve the quality of care provided.

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