Free Patient Satisfaction Survey Templates

What Is a Patient Satisfaction Survey?

A Patient Satisfaction Survey is an itemized list of questions given to a person that sought treatment at a healthcare institution.

Alternate Name:

  • Hospital Patient Satisfaction Survey.

The information included in this document will help the medical facility to provide high-quality medical services in the future ensuring the patient in question will schedule their next visit to a doctor from their institution. Use this simple and effective tool to figure out what can be done to improve both in terms of professional help your patients receive and doctor-patient communication - it is crucial people feel comfortable and confident when coming to you to receive medical advice or undergo surgery so do your best to show them you care about their opinion regarding your clinic.

See a full list of Patient Satisfaction Survey templates by checking out our library below.

How to Create a Patient Satisfaction Survey?

Here are some tips for you to consider before you customize a Patient Satisfaction Survey Template your patients can fill out right after their appointment or online when offering feedback on a particular doctor or the hospital as a whole:

  1. Allocate sufficient space at the top of the page for the patient to write down their full name, the date they visited the facility, and the name of the procedure they had . Add some words of gratitude for the patient - tell them you are pleased they chose your healthcare facility and let them know how crucial their opinion is for your institution so that you can improve in the future.

  2. Draw a table for the questionnaire - make sure the questions are straightforward and avoid vague wording . Patient Satisfaction Survey questions usually cover all the communication the patient had with the hospital or clinic - from scheduling an appointment, consultation, or procedure to the check-out process, the cleanliness of the facility and the level of services that are supposed to meet the expectations of the individual, interaction with the personnel, and adequacy of instructions given whether the patient had to follow them during the physical examination or comply with them at home.

  3. The easiest way to collect rating scale they can quickly use when sharing their opinion about your medical facility - or a particular doctor . It is advised to use a 1 to 10 or 1 to 5 scale that is descriptive enough so that the patient can easily choose the right answer - for instance, 1 point can mean they disliked everything about their visit and 5 points confirm the experience was excellent and the patient is satisfied with every detail.

  4. Ask the patient whether they plan to come back to your hospital if there is ever such a need in the future and whether they would recommend your clinic to other people . Add a couple of blank lines for remarks - the person can share some more thoughts in their own words to thank the doctor or refer to specifics you did not mention in the main part of the form.


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