Patient Experience Feedback Survey 🏥
How satisfied were you with your overall visit?*
Think about your full experience, from arrival to the end of your visit.
What type of visit did you have?*
Choose the option that best matches your most recent visit.
Which parts of your visit went well?
Select all that apply.
Did your care team explain things in a way that was easy to understand?*
Please think about instructions, diagnosis, treatment, or next steps.
What could we do to improve your experience?
Share any suggestions that would help us serve patients better.
How would you rate the wait time for your visit?*
Include both waiting before your appointment and during your visit.
Did you feel listened to and respected during your visit?*
This includes how staff spoke with you and responded to your concerns.
What was the main reason for your rating today?
A short answer is great if you'd like to explain your experience.
Would you recommend this clinic or provider to others?*
Your answer helps us understand overall trust and satisfaction.
Thank you for taking a part in this survey.
