HeySurvey survey

🩺 Healthcare Experience Feedback Survey

How would you rate your overall healthcare experience with us?*

Think about your most recent visit, appointment, or interaction.

1

2

3

4

5

Very poor to Excellent

Which healthcare services did you use most recently?*

Select all that apply.

Primary care visit
Specialist appointment
Telehealth / virtual visit
Lab or diagnostic testing
Pharmacy or medication support
Urgent care
Billing or insurance support

Was it easy to schedule your appointment or get care when you needed it?*

Please choose the option that best matches your experience.

Very easy
Somewhat easy
Neither easy nor difficult
Somewhat difficult
Very difficult

What mattered most to you during your healthcare experience?

Share the biggest factor that shaped your visit or interaction.

How clearly did healthcare staff explain your condition, treatment, or next steps?*

Think about how easy the information was to understand.

1

2

3

4

5

Not clear at all to Very clear

Which parts of your healthcare experience could be improved?

Choose any areas where you see room for improvement.

Appointment availability
Wait time
Communication from staff
Provider attentiveness
Treatment explanations
Billing clarity
Follow-up care
Digital tools or patient portal

Did you feel respected and listened to by the healthcare team?*

Please select the answer that best reflects your experience.

Yes, completely
Mostly yes
Not sure
Mostly no
No, not at all

What is one thing we could do to improve your healthcare experience next time?

Your feedback can help make care simpler and more supportive.

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

Please answer based on your overall experience.

1

2

3

4

5

Not likely at all to Very likely

Thank you for taking a part in this survey.

This is a HeySurvey survey template.