Patient Experience Survey
This survey is designed to gather feedback regarding your recent experience with our healthcare services. Your responses will help us improve the quality of care provided to all patients.
How easy was it to schedule your appointment?*
Please rate the ease of booking an appointment with our clinic or facility.
Please select all the ways you scheduled or managed your appointment.
Select all methods you used for scheduling or managing your appointment.
How would you rate the cleanliness of the facility during your visit?*
Consider waiting areas, exam rooms, and restrooms.
Was the medical staff (nurses, doctors, assistants) courteous and respectful?*
Indicate how you felt about the attitude and courtesy of our staff during your visit.
How long did you wait past your scheduled appointment time to be seen?
Please provide an estimate in minutes.
Did the healthcare provider explain things in a way that was easy to understand?*
Reflect on how clearly the provider communicated your diagnosis, treatment, and next steps.
What aspects of your visit could we improve?*
Share any suggestions or comments you have to help improve our services.
Would you recommend our practice to friends or family?*
Based on your experience, how likely are you to recommend our healthcare services?
Is there anything else you would like to share about your experience?
Use this space for any additional feedback not covered above.
Thank you for taking a part in this survey.
