すべてのテンプレート
Healthcare & Clinical

Health Insurance Plan Satisfaction & Claims Experience Survey

Measures how members feel about their health insurance plan—value for cost, network access, claims experience, and renewal intent—for health plans, brokers, or HR benefits teams. An AI follow-up interview reconstructs what actually happened the last time a member tried to use their coverage, surfacing friction that closed-ended ratings miss.

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

Thanks for taking a few minutes to share feedback on your health insurance plan! Your responses are completely confidential and anonymized. Your honest answers help improve coverage and service. This should take about 8 minutes.

Q02
選択式必須

How do you get your current health insurance coverage?

  • Through my employer
  • Purchased on my own (marketplace/ACA or private)
  • Medicare
  • Medicaid
  • Through a spouse or family member's plan
  • Other
Q03
オピニオンスケール必須

Overall, how satisfied are you with your current health insurance plan?

スケール: 1 – 7
最小:Very dissatisfied最大:Very satisfied
Q04
マトリクス必須

How much do you agree with each statement about your plan?

6行 × 5列
  • My monthly premium is worth what I get in return
  • My deductible and out-of-pocket costs are reasonable
  • I have enough doctors and specialists in-network near me
  • My prescription drugs are covered at a reasonable cost
  • It's easy to understand what is and isn't covered
  • ほか1件
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
選択式必須

In the last 12 months, have you filed a medical claim or had a claim submitted on your behalf?

  • Yes
  • No
  • Not sure
Q06
評価スケール

If you filed a claim in the last 12 months, how easy was it to get that claim reviewed and paid correctly?

範囲: 1 – 5
最小:Very difficult最大:Very easy
Q07
価格感度分析(Van Westendorp)必須

Thinking about your monthly premium for a comparable plan with similar coverage:

  • At what monthly premium would you start to question the quality or coverage of the plan because the price seems too low?
  • At what monthly premium would you consider this plan a bargain — great value for the money?
  • At what monthly premium would you consider this plan starting to get expensive, but you'd still consider it?
  • At what monthly premium would this plan be so expensive that you would not consider it at all?
Q08
ベスト・ワースト選択(MaxDiff)必須

When choosing or renewing a health plan, which factors matter most to you? Pick the most and least important each round.

  • Monthly premium cost
  • Deductible and out-of-pocket maximum
  • Size of the doctor/hospital network
  • Prescription drug coverage
  • Mental health and therapy coverage
  • Ease of getting claims approved
  • Customer service quality
  • Availability of telehealth options
各セットで最も良いもの・最も悪いものを選択最も良い:Matters most最も悪い:Matters least
Q09
AIインタビュー

Reconstruct the respondent's most recent real experience trying to use their health insurance — booking a visit, filling a prescription, or filing a claim. Anchor on what happened step by step, whether it was resolved and how long it took, and any point where they got confused, delayed, or denied. If they said filing a claim was difficult, probe specifically what went wrong and what they wish had happened instead; if they haven't used their plan recently, ask what would make them hesitate to use it if they needed to.

Q10
選択式必須

At your next open enrollment or renewal opportunity, how likely are you to switch to a different health plan?

  • Very likely to switch
  • Somewhat likely to switch
  • Unlikely to switch
  • Not sure / no upcoming choice
Q11
オピニオンスケール必須

How likely are you to recommend your health insurance plan to a friend or family member in a similar situation?

スケール: 0 – 10
最小:Not at all likely最大:Extremely likely
Q12
選択式

Which age range do you fall into?

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

How many people, including yourself, are covered under your health plan?

  • Just me
  • 2
  • 3-4
  • 5 or more
  • Prefer not to say
Q14
メッセージ

That's everything — thank you! Your responses will be combined with other members' feedback to identify where coverage, cost, or claims handling need to improve.

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 a satisfaction rating: a matrix question captures agreement across multiple plan dimensions (cost, network, service) in one structured block.
  • Directly measures the claims journey with a filed-claim screener and an ease-of-resolution rating, then uses an AI follow-up interview to reconstruct what actually happened the last time the member tried to use their coverage — surfacing friction that closed-ended ratings miss.
  • Includes pricing sensitivity (Van Westendorp) and a MaxDiff on renewal decision factors, giving benefits teams and brokers quantifiable trade-off data, not just satisfaction scores.
  • Combines renewal/switch intent and recommendation likelihood with demographics (age, household size, coverage source) for clean segmentation — and every AI probe follows a transparent, disclosed prompt rather than a black-box script.

QuestionPro

Health insurance coverage survey questions + sample questionnaire template

This is primarily a question-bank/guide page with a sample questionnaire on health insurance coverage and satisfaction, rather than a single fielding-ready survey object. It's useful as a reference for question wording but requires manual assembly into a live survey. QuestionPro is an established platform with broad distribution and analytics tooling.

優れている点

  • Large library of sample questions covering coverage, satisfaction, and plan features
  • Backed by a mature survey platform with standard analytics and distribution options
  • Content organized as a guide, useful for customizing question wording

物足りない点

  • Static closed-ended questions only — no adaptive AI follow-up that probes an individual's actual claims experience
  • No automated per-response quality scoring
  • No published, transparent AI prompt methodology since there is no AI interview component

SurveyMonkey

Do You Have Health Insurance? Survey Template

This template reads as a broader coverage-status survey (whether someone has insurance and basic plan details) rather than a deep satisfaction-and-claims-experience instrument. It's a ready-to-send template on a well-known platform, but the scope looks narrower than a dedicated satisfaction/claims/renewal study. Good for quick pulse checks, less suited to diagnosing specific friction points.

優れている点

  • Quick to deploy on a widely used, familiar survey platform
  • Simple format suitable for broad coverage-status screening
  • Standard reporting dashboard included

物足りない点

  • Static multiple-choice/rating format with no adaptive follow-up to reconstruct a real claims experience
  • Appears focused on coverage status rather than value-for-cost, network access, and renewal intent specifically
  • No automated quality scoring of open-ended responses or transparent AI prompt disclosure

よくあるご質問

「Health Insurance Plan Satisfaction & Claims Experience Survey」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:「Thanks for taking a few minutes to share feedback on your health insurance plan! Your responses are completely confident…」・「How do you get your current health insurance coverage?」・「Overall, how satisfied are you with your current health insurance plan?」。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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