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
How would you rate your overall experience at our healthcare facility?
Star rating · 5 stars
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
How well did the healthcare professional explain your diagnosis or treatment?
Scale · 0–10: Very unclearly → Very clearly
How comfortable and clean was the facility environment?
Star rating · 5 stars
How could we improve the care or experience we provide?
Text answer · Optional
How satisfied are you overall?
Scale · 0–10: Very unsatisfied → Very satisfied
How likely are you to recommend us to others?
Scale · 0–10: Not at all likely → Extremely likely
How would you rate your overall experience?
Star rating · 5 stars · Optional
Which areas matter most to you?
Multiple choice · Optional
- Quality
- Price
- Convenience
- Support
- Reliability
- Communication
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.
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Run this survey in 12 Indian languages
Customise it, choose your audience and share it on WhatsApp or by QR code.