Healthcare Experience Survey

Please help us improve healthcare services by sharing your experiences and opinions in this short survey.

How would you rate the overall quality of healthcare you have received in the past 12 months?*

Consider the consistency, professionalism, and outcomes of your healthcare interactions.

From Very poor to Very good
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How easy was it for you to schedule appointments with your primary healthcare provider?*

Think about your ability to book appointments at convenient times.

From Very difficult to Very easy
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Which of the following healthcare services have you used in the past 12 months?

Select all that apply.

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What factors are most important to you when choosing a healthcare provider?*

This will help us understand your priorities in provider selection.

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Have you ever delayed or avoided seeking medical care due to cost concerns?*

Please answer honestly, as your input is important for improvement.

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Please describe any challenges you have faced when accessing healthcare services.

Tell us about barriers such as transportation, costs, wait times, or language.

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How satisfied are you with your communication and interactions with healthcare professionals?*

Consider how well you felt listened to, respected, and informed during visits.

From Not satisfied to Very satisfied
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Are you currently managing any ongoing (chronic) health conditions?

This helps us understand the needs of people with different health backgrounds.

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What suggestions do you have for improving your healthcare experience?

Thank you for taking the time to share your valuable feedback!

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Thank you for taking a part in this survey.

This is a HeySurvey survey template.