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Patient satisfaction survey template

This patient satisfaction survey template collects demographic information and details about the patient's visit, soliciting feedback on their experience with the care and facilities.

The goal is to assess overall patient satisfaction and gather further comments that can be used to enhance the standard of patient care.

 
 
 

Patient satisfaction survey

Example questions

Demographic Information:

Visit Information

Care Experience

Facility Experience

Recommendations:

1. Would you recommend this facility to others
2. Why or why not

Overall Satisfaction

1. Overall, how satisfied were you with your visit
  • 1

  • 2

  • 3

  • 4

  • 5

  • 6

  • 7

  • 8

  • 9

  • 10

2. Additional Comments

Patient Satisfaction Survey Template Builder

Discover LimeSurvey's patient satisfaction survey builder and create surveys that will help you gain valuable insights into patients' experiences, needs, and expectations, ultimately improving the quality of care provided by your healthcare facility.

  • Easy and simple to use
  • Statistics
  • Questionnaire templates
  • GDPR compliance
  • So much more…

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Patient satisfaction questionnaires are essential for healthcare providers to receive feedback from patients, allowing them to identify areas of improvement, enhance patient experience, and ultimately provide better care.
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