Health Care Satisfaction Survey

We’d love your honest feedback about your recent health care experience. Your answers will help us make future visits even better!

How satisfied are you with the overall quality of care you received?*

Think about your most recent visit.

Not satisfied-Neutral Very satisfied

How easy was it to schedule your appointment?*

Tell us how convenient the scheduling process felt.

Very difficult-Somewhat difficult-Neutral-Somewhat easy Very easy

Were your questions or concerns listened to and addressed by our staff?*

It’s important to us that you feel heard.

How long did you wait before seeing a health care provider?

Choose the option that best describes your wait time.

Which services did you use during your visit? (Select all that apply)

This helps us understand how you interact with our services.

Was the facility clean and comfortable during your visit?*

Share your experience about the environment.

How well did we explain your treatment or next steps?*

Clear instructions help you manage your health confidently.

Not clear at all-Somewhat clear Very clear

Please describe anything you’d like us to improve.*

Let us know if something didn’t meet your expectations, or how we could improve in the future.

If you’d like, share a positive experience from your visit!

We love hearing what went well.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.