Patient Visit Satisfaction: Wait Times, Access & Counseling
Measures patient satisfaction with a recent healthcare visit across three domains—wait times, appointment access, and clinician counseling quality. Suitable for clinics, hospitals, and health systems seeking actionable feedback to improve the patient experience.
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。
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
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)
How easy was it to get an appointment when you needed one?
How clear were the clinician's explanations about your condition and care plan?
Overall, how satisfied were you with this visit?
Based on your responses in this survey, what is one thing we could do to improve your visit experience?
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 is valuable and will be used to help improve care quality at this facility.
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
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
I was able to get an appointment within a timeframe that met my needs.
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
How likely are you to recommend this facility to a friend or family member?
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.
Which best describes your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Overall, how reasonable was the total time you spent waiting during this visit?
The facility offered appointment times that were convenient for my schedule.
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
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
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
After the visit, how confident did you feel about managing your health or care 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。
よくあるご質問
「Patient Visit Satisfaction: Wait Times, Access & Counseling」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22問含まれており、最初の設問は次のとおりです:「Welcome! This brief survey asks about one recent healthcare visit and takes about 10 minutes to complete. Your participa…」・「When was your most recent visit to this facility?」・「Approximately how many minutes did you wait from check-in until you were seen by a clinician?」。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、22問を約10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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