Patient Satisfaction Survey Template
Section 1 of 1 · 17 questionsPlease Use The Following Scores To Rate Your Experience Strongly Agree – 5, Agree – 4, Uncertain – 3, Disagree – 2, Strongly Disagree - 1
Were the doctors careful to examine everything when treating and checking me?
I have received very good medical care
Doctors are not too serious and impersonal to patients
I am confident that I can receive the medical care I need without being set back financially
Doctors have explained the reason for the recommended medical tests
I have clear access to the medical specialists I need
I think my doctor's office has everything required to implement provide quality medical care
Where I go for medical care, I do not have to wait too long for emergency medication
My doctors treat me in a kind and polite manner
I have trust in the ability of the doctors who treat me
I can get medical care whenever I need it
Those who give me my medical care are not in too much of a rush when they treat me
I am charged reasonably for my medical care
Doctors do not ignore what I tell them
Doctors spend sufficient / plenty of time with me
It is easy to get an appointment for medical care
I am happy with the medical care I received
Checklist by GoAudits. This checklist is an example: we do not guarantee compliance with the laws applicable to your territory or industry. Seek professional advice to adapt it to your workplace or jurisdiction.
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