Did we take good care of you?

Hi 👋 A few questions about your time at [facility name], from finding your way around to how you were looked after. This is anonymous, we don't ask for your name and only report answers as totals. Under 2 minutes.

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

2. Why were you here?

Select one answer

  • Medical treatment
  • Visiting another patient

3. How long did you wait to be seen?

Select one answer

  • Under 15 minutes
  • 15–30 minutes
  • 30–60 minutes
  • More than an hour
  • I was not being seen myself

4. How did you end up with us?

Select one answer

  • Recommendation from my doctor
  • My own choice
  • Brought in as an emergency

5. What needs fixing at [facility name]?

Select one or more answers

  • Cleanliness
  • Comfort
  • Privacy
  • Noise
  • Food
  • Parking
  • Signs and directions
  • Nothing, it was fine

6. Was it easy to find your way?

  • -2
  • -1
  • 0
  • 1
  • 2

Difficult

Easy

7. How would you rate the staff?

Select one answer in each row

  • Poor
  • OK
  • Great

Explaining things

  • Poor
  • OK
  • Great

Listening

  • Poor
  • OK
  • Great

Respect

  • Poor
  • OK
  • Great

Response time

  • Poor
  • OK
  • Great

8. How likely are you to recommend [facility name]?

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

Not at all likely

Extremely likely

9. What would you change about your visit?

500

Use template

Medical Facility Patient Satisfaction

Who it's for

Hospitals, polyclinics and larger practices. Run it continuously, across every department.

Who answers

Patients and the people who came with them, on a phone, in two minutes. No name and no case number.

Use template

What you'll see

  • Waiting times as patients experienced them, next to how they rated the visit
  • Whether people could find their way around the building at all
  • Staff rated as a group, so you can tell reception from the clinical team
  • What patients say needs fixing, in their own words

How to get good answers

  • Send it the same day. A week later people remember the outcome, not the visit.
  • Ask no health details at any point. Clinical data belongs in the record, not in a survey inbox.
  • Split the answers by why people came. Someone in for a routine check and someone in for a scan judge the same building differently.
  • The question about finding your way is the cheapest one to act on. Signs and a floor plan usually beat another staff training day.

Survio is a survey software for everyone.

Survey templates make your start quick and smooth. Collect any feedback effortlessly.

What people say about us

Marketing manager, HR specialist and sales director sharing their experience with Survio.

Survey creation is straightforward and simple. Easy to navigate as a survey creator as well as a survey respondent. Quick to make unique surveys tailored to your and your company's purpose.

Linda W. Marketing manager

I've been able to design multiple surveys in just a few minutes. I'm particularly excited about the data collection, analysis, reporting & exporting capabilities, which are critical to my success as an HR.

Liam J. HR specialist

I highly recommend Survio as it is user-friendly and professional. It is definitely worth updating the free account to get more advanced features and make it an integral part of your workflow.

Edward G. Sales director

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

Create your survey now

Enter Survio

Login

Forgot password?

Digicert

Start surveying now!

  • Build a survey Easy-to-use survey editor, 100+ ready-made survey templates
  • Collect responses Mobile friendly, omnichannel collection, identity tracking
  • Analyze results Fast and comprehensive analytics, one-click reports
  • Engage with Survio PRO User management, custom dashboards, integrations, API
  • GDPR
  • SSO
  • ISO 27001:2022

Get in touch with Sales team

Do you have a request for Demo, Custom quote or any other commercial related query? Let us know and our team will get back to you promptly.

This form serves for business related topics to our Sales team.

Survio.com is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.
By clicking submit below, you consent to allow Survio.com to store and process the personal information submitted above to provide you the content requested.