Other template

Healthcare Patient Satisfaction

Assess patient experience across appointments, care quality, and communication.

  • 10 questions
  • About 5 min
  • Answerable in 12 languages

The questions

  1. How would you rate your overall experience at our healthcare facility?

    Star rating · 5 stars

  2. How long did you wait before being seen by a healthcare professional?

    Single choice

    • Under 10 minutes
    • 10–20 minutes
    • 20–40 minutes
    • Over 40 minutes
  3. How well did the healthcare professional explain your diagnosis or treatment?

    Scale · 0–10: Very unclearly → Very clearly

  4. How comfortable and clean was the facility environment?

    Star rating · 5 stars

  5. How could we improve the care or experience we provide?

    Text answer · Optional

  6. How satisfied are you overall?

    Scale · 0–10: Very unsatisfied → Very satisfied

  7. How likely are you to recommend us to others?

    Scale · 0–10: Not at all likely → Extremely likely

  8. How would you rate your overall experience?

    Star rating · 5 stars · Optional

  9. Which areas matter most to you?

    Multiple choice · Optional

    • Quality
    • Price
    • Convenience
    • Support
    • Reliability
    • Communication
  10. How well did we meet your expectations?

    Scale · 0–10: Far below → Far exceeded

Every question can be edited, removed or reordered in the survey builder, and the whole survey is translated automatically when respondents pick their language.

Run this survey in 12 Indian languages

Customise it, choose your audience and share it on WhatsApp or by QR code.