Did you feel comfortable?

Hi 👋 A few questions about your visit to [practice name], from booking to how you were treated. Nothing here goes into your medical record, we only use it to run the practice better. 

Under 3 minutes.

1. How was your visit to [practice name]?

2. How easy was it to get an appointment?

Select one answer

  • Very easy
  • Easy
  • Neither easy nor difficult
  • Difficult
  • Very difficult

3. How would you prefer to book next time?

Select one answer

  • Telephone
  • In person
  • Email
  • Online booking through our website

4. How long did you wait to be seen?

Select one answer

  • I was seen on time
  • Up to 15 minutes
  • 16 to 30 minutes
  • 31 to 60 minutes
  • More than an hour

5. How were the nurses?

6. Which doctor did you see?

Select one answer

  • [Dr 1]
  • [Dr 2]
  • [Dr 3]

7. How would you rate the doctor?

Select one answer in each row

  • Poor
  • OK
  • Great

Professional

  • Poor
  • OK
  • Great

Listened to me

  • Poor
  • OK
  • Great

Discreet

  • Poor
  • OK
  • Great

Friendly

  • Poor
  • OK
  • Great

Explained things clearly

  • Poor
  • OK
  • Great

8. Did you feel you had enough privacy?

Select one answer

  • Yes, always
  • Mostly
  • Not really
  • No

9. How likely are you to recommend [practice name]?

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

Not at all likely

Extremely likely

10. What should we do better?

500

Use template

Gynecology Patient Satisfaction

Who it's for

Gynaecology practices and women's clinics. Run it once or twice a year, not only after a complaint.

Who answers

Your patients, anonymously, on a phone. Nothing about their health, only about the visit.

Use template

What you'll see

  • How easy it was to get an appointment and how long the wait in the room really was
  • Whether there was enough privacy, which is the thing nobody mentions at the desk
  • The doctor and the nurses rated separately
  • How people would prefer to book next time: phone, online, or a message

How to get good answers

  • Anonymity is not a formality here. Write at the top that no answer can be traced back, or you will collect nothing but praise.
  • Ask nothing about diagnosis, treatment or results. Keep every question about how the visit ran.
  • Send it by text a day or two later, not on paper in the waiting room. A form handed over at the desk is filled in under someone's eyes.
  • Read the privacy question on its own. A curtain, a door that closes properly or a quieter desk usually costs less than anything else on the list.

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