Your Patient Experience

Tell us about your most recent visit. Please avoid sharing names, medical details, or other identifying information.

What type of visit did you have?*

Choose the option that best matches your most recent visit.

How easy was it to arrange your visit?

Think about scheduling or getting care when you needed it. Skip this question if it does not apply.

Very difficult to Very easy

About how long did you wait before seeing your care provider?

Count from your scheduled appointment time, or from check-in if you arrived later or had no appointment.

How well did your care provider listen to you?*

Think about whether you had a chance to explain your concerns.

Not at all well to Extremely well

Which parts of your visit could be improved?

Select all that apply. If you choose “Nothing needs improvement,” select only that option.

How clear were the instructions about what to do after your visit?

Consider any guidance about medicines, tests, follow-up visits, or care at home.

Did you feel involved in decisions about your care?

Think about whether your care provider considered your preferences.

Overall, how satisfied were you with your visit?*

Consider your experience from arranging the visit through receiving care.

Very dissatisfied to Very satisfied

What is one thing we could do to make your next visit better?

Please share a suggestion without including personal or medical details.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.