Patient Visit Satisfaction: Wait Times, Access & Counseling

Welcome! This brief survey asks about one recent healthcare visit and takes about 10 minutes to complete. Your participation is entirely voluntary and you may stop at any time. There are no right or wrong answers—we simply want your honest opinions. All responses are confidential and will be reported only in aggregate to help improve care quality.

When was your most recent visit to this facility?

• Within the past week
• 1–2 weeks ago
• 3–4 weeks ago
• 1–2 months ago
• 3–6 months ago
• More than 6 months ago

What type of visit was it?

• Primary care
• Specialist
• Urgent care
• Emergency department (ED)
• Telehealth / virtual visit
• Lab or imaging only
• Pharmacy or medication counseling
• Other

Approximately how many minutes did you wait from check-in until you were seen by a clinician?

• Less than 5 minutes
• 5–14 minutes
• 15–29 minutes
• 30–44 minutes
• 45–59 minutes
• 60 minutes or more
• Not applicable (e.g., telehealth)

After seeing the clinician, approximately how many minutes did you wait for follow-up steps (e.g., labs, pharmacy, or discharge instructions)?

• No follow-up wait
• Less than 5 minutes
• 5–14 minutes
• 15–29 minutes
• 30–44 minutes
• 45 minutes or more
• Not applicable

Overall, how reasonable was the total time you spent waiting during this visit?

How easy was it to get an appointment when you needed one?

I was able to get an appointment within a timeframe that met my needs.

The facility offered appointment times that were convenient for my schedule.

Which method(s) did you use to book this visit? Select all that apply.

• Phone call
• Website or patient portal
• Mobile app
• Walk-in (no appointment)
• Referral scheduled by another clinic
• Other

How clear were the clinician's explanations about your condition and care plan?

Did the clinician involve you in decisions about your care to the extent you wanted?

• Yes, completely
• Yes, somewhat
• Not really
• Not at all
• Not applicable

Which aspect of counseling mattered most to you during this visit?

• Clear next steps and follow-up
• Risks and benefits explained
• Medication instructions
• Lifestyle or self-care guidance
• Time to ask questions

After the visit, how confident did you feel about managing your health or care plan?

Overall, how satisfied were you with this visit?

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

Based on your responses in this survey, what is one thing we could do to improve your visit experience?

We'd like to understand your experience in a bit more depth. An AI moderator will ask a couple of brief follow-up questions based on your earlier responses.

What is your age group?

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

Which best describes your gender?

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

What is the highest level of education you have completed?

• High school or less
• Some college or associate degree
• Bachelor's degree
• Graduate or professional degree
• Prefer not to say

Thank you for completing this survey. Your feedback is valuable and will be used to help improve care quality at this facility.