HeySurvey survey

CAHPS Patient Experience Survey

This survey gathers feedback on your recent experience with healthcare providers and facilities, following the Consumer Assessment of Healthcare Providers and Systems (CAHPS) standards. Your responses will help improve the quality of care and services.

In the last 12 months, how often did your provider listen carefully to you?*

Please think about your most recent interactions with your healthcare provider.

From Never-Sometimes-Usually to Always

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Did you have difficulty scheduling appointments when you needed care?*

This question focuses on your experience with appointment availability and the scheduling process.

No difficulty
Minor difficulty
Major difficulty
Did not try to schedule

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When you needed care right away, how often did you get care as soon as you needed?*

Please rate your experience with urgent healthcare needs.

From Never-Sometimes-Usually to Always

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Which of the following reasons did you visit your healthcare provider in the past 12 months?

Select all that apply to your recent visits.

Routine check-up
Treatment for existing condition
New symptoms or illness
Prescription renewal
Preventive care/screenings
Other

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How clearly did your healthcare provider explain things to you?*

Consider if you understood the explanations given about your health, tests, or treatments.

From Not at all clear-Somewhat clear to Very clear

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Was it easy to get answers to your medical questions between appointments?

This question refers to your experience with follow-up or communication via phone, email, or patient portals.

Very easy
Somewhat easy
Somewhat difficult
Very difficult
Did not have any questions

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What could your healthcare provider or their staff do to improve your experience?

Please share any specific suggestions to help us improve.

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In general, how would you rate your overall healthcare in the past 12 months?*

(0 = Worst possible care, 10 = Best possible care)

From Least to Most

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Please share any additional comments about your healthcare experience.

This is an open space for feedback not covered by previous questions.

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CAHPS Patient Experience Survey

In the last 12 months, how often did your provider listen carefully to you?*

Did you have difficulty scheduling appointments when you needed care?*

When you needed care right away, how often did you get care as soon as you needed?*

Which of the following reasons did you visit your healthcare provider in the past 12 months?

How clearly did your healthcare provider explain things to you?*

Was it easy to get answers to your medical questions between appointments?

What could your healthcare provider or their staff do to improve your experience?

In general, how would you rate your overall healthcare in the past 12 months?*

Please share any additional comments about your healthcare experience.

Thank you for taking a part in this survey.