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OPD & Clinic Visit Feedback
Short feedback after an outpatient (OPD) or clinic visit — waiting time, doctor's time, medicines and cost.
10 questions About 5 min Answerable in 12 languages
The questions
What type of facility did you visit?
Single choice
- Government hospital
- Primary health centre
- Private hospital
- Private clinic
- Other
How long did you wait before seeing the doctor?
Single choice
- Under 15 minutes
- 15–30 minutes
- 30–60 minutes
- 1–2 hours
- More than 2 hours
How well did the doctor listen to your problem?
Star rating · 5 stars
Did the doctor explain your treatment in a way you understood?
Single choice
- Yes, fully
- Partly
- No
Were the prescribed medicines available at the facility?
Single choice
- Yes, all
- Some
- None
- Not applicable
How clean was the facility?
Star rating · 5 stars
How helpful were the staff?
Star rating · 5 stars
Was the cost of the visit reasonable?
Single choice
- Yes
- Somewhat
- No
- It was free
How likely are you to recommend this facility to a friend or family member?
Scale · 0–10: Not at all likely → Extremely likely
What could this facility do better?
Text answer · Optional
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.