HeySurvey survey

Healthcare Experience Feedback Survey

How would you rate your overall experience with our healthcare services?*

Think about your most recent visit or interaction.

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Very poor to Excellent

Which healthcare services did you use?*

Select all that apply.

Primary care visit
Specialist visit
Telehealth/virtual appointment
Lab or diagnostic testing
Pharmacy support
Mental health services
Other

How easy was it to schedule your appointment?*

Please rate how simple and convenient the process felt.

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Very difficult to Very easy

What was the main reason for your visit or healthcare need?

A short response is fine.

How satisfied were you with communication from doctors, nurses, or staff?*

Consider how clearly they explained next steps, treatment, or answers to your questions.

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Not satisfied to Very satisfied

Which parts of your care experience could be improved?

Choose any areas that stood out to you.

Wait times
Appointment availability
Staff communication
Billing or insurance process
Facility cleanliness
Follow-up after visit
Digital tools or patient portal
No improvements needed

Did you feel listened to and respected during your care?*

This includes whether your concerns were taken seriously.

Yes, completely
Mostly
Somewhat
Not really
Not at all

What is one thing we could do to make your healthcare experience better? 🙂

Share any idea that would help us improve future care.

How likely are you to recommend our healthcare services to others?*

Your feedback helps us understand overall trust and satisfaction.

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Not likely at all to Very likely

Thank you for taking a part in this survey.

This is a HeySurvey survey template.