Patient Satisfaction Survey

This questionnaire can be used by medical professionals to conduct patient surveys, to collect feedback and understand the quality of care and services provided, as rated by the patients.

Patient Satisfaction Survey



Please Use The Following Scores To Rate Your Experience Strongly Agree – 5, Agree – 4, Uncertain – 3, Disagree – 2, Strongly Disagree - 1

1. Were the doctors careful to examine everything when treating and checking me?


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2. I have received very good medical care


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3. Doctors are not too serious and impersonal to patients


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4. I am confident that I can receive the medical care I need without being set back financially


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5. Doctors have explained the reason for the recommended medical tests


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6. I have clear access to the medical specialists I need


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7. I think my doctor's office has everything required to implement provide quality medical care


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8. Where I go for medical care, I do not have to wait too long for emergency medication


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9. My doctors treat me in a kind and polite manner


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10. I have trust in the ability of the doctors who treat me


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11. I can get medical care whenever I need it


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12. Those who give me my medical care are not in too much of a rush when they treat me


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13. I am charged reasonably for my medical care


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14. Doctors do not ignore what I tell them


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15. Doctors spend sufficient / plenty of time with me


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16. It is easy to get an appointment for medical care


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17. I am happy with the medical care I received


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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