Patient Scheduling & Reminder Satisfaction Survey

Welcome to this survey about your healthcare appointment scheduling experience. Your participation is voluntary and you may stop at any time. All responses are confidential and will be reported only in aggregate — no individual answers will be shared. There are no right or wrong answers; we are simply interested in your honest opinions. This survey takes approximately 9 minutes to complete. Please think about your most recent healthcare appointment within the last 6 months as you answer the following questions.

Have you had a healthcare appointment (in-person or telehealth) within the last 6 months?

• Yes
• No

How did you book your most recent healthcare appointment?

• Phone call to the clinic
• Central scheduling phone line
• Online patient portal
• Provider's mobile app
• Third-party website
• Walk-in without booking
• Someone else booked for me
• Other (please specify)

Which types of reminders did you receive for that appointment? Select all that apply.

• Text/SMS
• Email
• Phone call
• Mobile app push notification
• Patient portal message
• Postal mail
• I did not receive any reminders

Overall, how satisfied are you with the scheduling and reminder process for your most recent appointment?

What is your age group?

• 18–24
• 25–34
• 35–44
• 45–54
• 55–64
• 65 or older
• Prefer not to say

Thank you for completing this survey. Your feedback will help improve appointment scheduling and reminder systems for patients like you.

Overall, how easy or difficult was it to book your appointment?

How helpful were the reminders you received in keeping or preparing for your appointment?

How likely are you to recommend this healthcare provider's scheduling system to a friend or family member?

Which of the following best describes your gender?

• Woman
• Man
• Non-binary
• Prefer to self-describe
• Prefer not to say

How easy or difficult was it to find an available time slot that worked for your schedule?

When would you most prefer to receive appointment reminders? Select all that apply.

• Same day (morning of the appointment)
• 1 day before
• 2 to 3 days before
• About 1 week before
• More than 1 week before

What is one thing that would make scheduling or reminders better for you?

What type of health coverage do you currently have?

• Private insurance (employer or individual)
• Public/government plan (e.g., Medicare, Medicaid)
• None / self-pay
• Prefer not to say

How easy or difficult was it to select your preferred provider or location?

Based on your responses, we'd like to explore your scheduling and reminder experience in a bit more depth. Please share your thoughts and our AI moderator will ask a couple of follow-up questions.

How easy or difficult was it to confirm your appointment details (date, time, location)?

Which of the following, if any, made scheduling your appointment more difficult? Select all that apply.

• Long hold times on the phone
• Limited available time slots
• Patient portal was hard to use
• Could not find my provider in the system
• Insurance or authorization confusion
• Accessibility or language barriers
• Privacy or security concerns
• Other (please specify)
• None of the above