すべてのテンプレート
Healthcare & Clinical

Dental Plan Member Experience Survey (CAHPS-Style)

A CAHPS-style survey for dental insurance plans, measuring how easy it was to find a dentist, get timely care, and get help from customer service, plus an overall plan rating. An AI follow-up interview digs into the story behind that rating so plan administrators know exactly what to fix.

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全14問・約7分
Q01
メッセージ

Hi! We'd like to hear about your experience with your dental insurance plan over the last 6 months. Your responses are completely confidential and anonymized. This takes about 8 minutes and your answers help improve service for all members.

Q02
選択式必須

How long have you been enrolled in your current dental plan?

  • Less than 6 months
  • 6 months to 1 year
  • 1 to 3 years
  • More than 3 years
Q03
選択式必須

In the last 6 months, how many times did you visit a dentist or dental specialist?

  • None
  • 1 visit
  • 2-3 visits
  • 4 or more visits
Q04
オピニオンスケール

In the last 6 months, how easy was it to find a dentist in your plan's network who was accepting new patients?

スケール: 1 – 5
最小:Very difficult最大:Very easy
Q05
オピニオンスケール

In the last 6 months, when you needed dental care, how easy was it to get an appointment as soon as you wanted?

スケール: 1 – 5
最小:Very difficult最大:Very easy
Q06
マトリクス

In the last 6 months, how often did each of the following happen when you contacted your dental plan's customer service?

4行 × 4列
  • Representatives treated you with courtesy and respect
  • Representatives gave you the information or help you needed
  • You waited longer than you expected to speak with someone
  • Written or online information about your benefits was easy to understand
列: Never · Sometimes · Usually · Always
Q07
選択式

In the last 6 months, did you have any problems with paperwork, claims, or being billed incorrectly for dental care?

  • No problems
  • Yes, one minor problem
  • Yes, more than one problem
  • Not sure / don't recall
Q08
オピニオンスケール必須

Using a 0-10 scale, what number would you use to rate your dental plan overall?

スケール: 0 – 10
最小:Worst dental plan possible最大:Best dental plan possible
Q09
AIインタビュー

Probe the reasoning behind the respondent's overall 0-10 rating of their dental plan: ask what specifically drove that number, anchoring on any network access, appointment wait, customer service, or claims/billing issues they mentioned earlier. If they reported a claims or billing problem, get the specifics of what happened and whether it was resolved. If the rating was low (0-6), ask what single change would move it up; if high (9-10), ask what they'd be most upset to lose.

Q10
オピニオンスケール

How likely are you to recommend this dental plan to a friend or family member?

スケール: 0 – 10
最小:Not at all likely最大:Extremely likely
Q11
選択式

In general, how would you rate your overall dental health?

  • Excellent
  • Very good
  • Good
  • Fair
  • Poor
  • Prefer not to say
Q12
選択式

What is your age range?

  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65 or older
  • Prefer not to say
Q13
選択式

Is this dental plan provided through an employer, purchased individually, or through a government program (e.g., Medicaid/Medicare)?

  • Employer-provided
  • Purchased individually
  • Government program (Medicaid/Medicare)
  • Not sure
  • Prefer not to say
Q14
メッセージ

Thank you for sharing your experience! Your responses will be combined with other members' feedback to help improve access to dentists, customer service, and claims handling for this plan.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Goes beyond static ratings with an AI follow-up interview that probes the reasoning behind each respondent's 0-10 overall plan rating, so administrators learn the 'why' not just the 'what'
  • Covers the full CAHPS-style journey — network access, appointment timeliness, customer service contacts (via a matrix question), and claims/paperwork problems — before asking for an overall rating and likelihood to recommend
  • Captures plan context (employer, individual, or other source) and respondent demographics (age range, self-rated dental health, tenure with plan) for proper segmentation of results
  • Produces an automated report from combined structured and open-ended responses, with transparent prompts showing exactly how the AI follow-up was conducted

SurveyMonkey

CAHPS® Dental Plan Survey Survey Template

A ready-to-field template directly modeled on the CAHPS dental plan survey standard, covering similar ground to ours (access, timeliness, customer service). It's a static questionnaire built on SurveyMonkey's established survey infrastructure and analytics dashboard. No mechanism is described for probing individual respondents further on their ratings.

優れている点

  • Directly based on the recognized CAHPS dental plan survey framework
  • Backed by SurveyMonkey's mature survey distribution and reporting tools
  • Likely quick to deploy given its template-library format

物足りない点

  • Static question set with no adaptive follow-up — every respondent who rates their plan a 3 or a 9 gets the same fixed questions
  • No voice AI interview option or guided screen-share tasks
  • No published methodology showing how responses are scored or interpreted

QuestionPro

Dental Care Survey Template

A general dental care survey template aimed at capturing patient/member feedback, built on QuestionPro's broader survey platform. It appears to be a standard fixed-question form rather than a CAHPS-aligned instrument specifically, and it doesn't publish methodology for how responses are analyzed. Useful as a generic starting point but not purpose-built for plan-level CAHPS-style benchmarking.

優れている点

  • Part of a large, established survey template library
  • Likely integrates with QuestionPro's existing analytics and dashboard features
  • Flexible enough to be adapted for various dental care contexts

物足りない点

  • No adaptive AI interview to dig into the reasoning behind low or high ratings
  • No voice-based interview or guided task options
  • No transparent, publishable prompt methodology for how any qualitative follow-up (if present) is generated or scored

よくあるご質問

「Dental Plan Member Experience Survey (CAHPS-Style)」テンプレートにはどのような設問が含まれていますか?

すぐに使える設問が14問含まれており、最初の設問は次のとおりです:「Hi! We'd like to hear about your experience with your dental insurance plan over the last 6 months. Your responses are c…」・「How long have you been enrolled in your current dental plan?」・「In the last 6 months, how many times did you visit a dentist or dental specialist?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか?

回答者は通常、14問を約7分で回答し終えます。

テンプレートは編集できますか?

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか?

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか?

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

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