Services & government

Patient satisfaction survey

The patient journey from booking to leaving — no names, no clinical data, one response per visit.

11 questions · Layout: One at a time

Use this template for freeNo credit card. Edit the questions and design however you like after signing in.

When to use it

For organizations that receive and track service requests, complaints, and appointments.

Questions in this template

  1. 1Type of visit
  2. 2How easy was booking your appointment?
  3. 3How long did you wait past your appointment time?
  4. 4Reception staff
  5. 5Nursing team
  6. 6Did the doctor clearly explain your condition and treatment plan?
  7. 7What wasn't clear?
  8. 8Respect for your privacy during the examination
  9. 9Cleanliness of the facility
  10. 10How likely are you to recommend us to a friend or relative?
  11. 11What should we improve first?

Similar templates

Patient satisfaction survey — Free template | Istban