Patient Experience Feedback
Tell us about your most recent visit. Please skip any question that does not apply, and avoid sharing names or medical details.
Overall, how satisfied were you with your visit?*
Think about your experience from start to finish.
How easy was it to arrange your appointment?
Consider the booking process, whether online, by phone, or in person.
How satisfied were you with your provider’s explanations?
Think about whether they explained your care in a way you could understand.
How satisfied were you with the wait before receiving care?
Consider the time between checking in and seeing your care provider.
How satisfied were you with the respect shown by our staff?
Consider whether you felt welcomed and treated with courtesy.
Which parts of your experience could we improve?
Select all that apply. If you select “No improvements needed,” leave the other options blank.
How satisfied were you with your involvement in care decisions?
Think about whether you had the chance to ask questions and share your preferences.
How clear were the instructions for what to do after your visit?
Consider any guidance about medicines, follow-up visits, or care at home.
What else would you like us to know?
Share anything that went well or one thing we could do better. Please leave out personal or medical details.
Thank you for taking a part in this survey.
