.

Patient Satisfaction Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
Survio
1

How satisfied are you with the cleanliness of our facilities?

Please rate your satisfaction on a scale from 1 to 5.
2

Did our staff treat you with respect and kindness?

Please select one option that best describes your experience.
3

How would you rate the quality of care you received?

Please rate your satisfaction on a scale from 1 to 10.
4

Were your medical concerns addressed in a timely manner?

Please select one option that best describes your experience.
5

How likely are you to recommend our services to others?

Please select one option that best describes your likelihood.
6

What could we do to improve your experience with us?

Please provide your feedback in the text box below.
7

Did you find our check-in process efficient and organized?

Please select one option that best describes your experience.
8

How satisfied are you with the communication from your healthcare provider?

Please rate your satisfaction on a scale from 1 to 5.
9

Were your privacy and confidentiality respected during your visit?

Please select one option that best describes your experience.
10

Overall, how satisfied were you with your experience at our healthcare facility?

Please rate your satisfaction on a scale from 1 to 10.
Thank you for your time and your feedback.

Share this survey to help us get more responses.