Patient Satisfaction Survey

A patient satisfaction survey for clinics and practices: booking, waiting time, staff, the clinician, explanations, facility and likelihood to recommend.

9 questions, about 2 minutes to fill in

Free, with unlimited responses. Change any question, color or rule after you start.

What it asks

  1. 1What kind of visit was it?Multiple choice
  2. 2How easy was it to book your appointment?Opinion scale
  3. 3How long did you wait past your appointment time?Multiple choice
  4. 4Reception and support staffRating
  5. 5The clinician you sawRating
  6. 6Things were explained in a way I understood.Opinion scale
  7. 7Cleanliness and comfort of the facilityRating
  8. 8How likely are you to recommend our practice to friends and family?Opinion scale
  9. 9What could we do better?Long answer

Good for

  • After-visit patient feedback
  • Annual patient experience surveys
  • Comparing locations or clinicians
  • Telehealth visit feedback

Why it works

  • Covers every step of the visit
  • Asks about feelings and experience, never about conditions
  • Clinician and location passed in hidden fields
  • Low scores alert the practice manager

Made for

Medical and dental practices, clinics, therapists, physiotherapists and hospitals.

What kind of visit was it?

*

Try it. Answers here are not saved.