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Industry-Specific

Physician Practice Patient Experience Survey

Captures how patients experience a physician practice end-to-end — scheduling ease, wait times, physician communication, and likelihood to recommend — with an AI follow-up that digs into the 'why' behind recommendation scores, especially from patients who were lukewarm or dissatisfied. Built for practice managers and physician groups tracking patient experience.

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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12問・約7分
Q01
メッセージ

Thanks for taking a few minutes to tell us about your recent visit to (Replace with practice name). Your feedback helps the practice improve care and service. Your responses are completely confidential and anonymized. This will take about 7 minutes.

Q02
選択式必須

What best describes your most recent visit to this practice?

  • New patient visit
  • Follow-up or routine visit
  • Urgent or same-day visit
  • Telehealth visit
Q03
オピニオンスケール必須

How easy was it to schedule this appointment?

スケール: 1 – 5
最小:Very difficult最大:Very easy
Q04
評価スケール必須

How would you rate the wait time at your appointment, from checking in to being seen?

範囲: 1 – 5
最小:Very poor最大:Excellent
Q05
マトリクス必須

Thinking about your interaction with the physician, how much do you agree with each statement?

4行 × 5列
  • The physician listened carefully to my concerns
  • The physician explained things in a way I could understand
  • I had enough time to ask questions
  • Staff treated me with courtesy and respect
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q06
オピニオンスケール必須

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

スケール: 0 – 10
最小:Not at all likely最大:Extremely likely
Q07
AIインタビュー

Probe the reasoning behind the respondent's recommendation score, anchoring on their specific visit. If the score was low or middling (6 or below), find out precisely where the experience broke down — scheduling, wait time, physician communication, or staff interaction — and what would have changed the score. If the score was high, identify the single moment that made the visit stand out. Always try to surface one concrete, actionable detail rather than a general impression.

Q08
選択式

In the last 12 months, how many times have you visited this practice?

  • This was my first visit
  • 2-3 times
  • 4-6 times
  • More than 6 times
Q09
自由回答（長文）

What is the one thing this practice could do to improve your experience?

Q10
選択式

Which age range best describes you?

  • Under 18
  • 18-34
  • 35-49
  • 50-64
  • 65 or older
Q11
選択式

What type of insurance coverage did you use for this visit?

  • Private/employer insurance
  • Medicare
  • Medicaid
  • Self-pay
  • Other
Q12
メッセージ

That's everything — thank you for sharing your experience. Your answers will be reviewed by practice leadership to improve scheduling, wait times, and patient communication.

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

  • Includes a dedicated AI follow-up interview that probes the reasoning behind each respondent's recommendation score, digging deeper with lukewarm or dissatisfied patients specifically
  • Combines structured metrics (scheduling ease, wait time rating, physician communication matrix, recommendation likelihood) with open-ended improvement feedback in one flow
  • Captures visit context (visit type, visit frequency in last 12 months, insurance type, age range) so practice managers can segment experience data by patient profile
  • Uses conversational chat-style intro and closing messages to keep the survey approachable rather than feeling like a clinical intake form

QuestionPro

Physician Practices Survey Template

A genuinely comparable static survey template aimed at capturing patient experience at physician practices. It appears to cover similar ground (visit experience, satisfaction) but as a fixed-question form rather than an adaptive interview. Good for basic benchmarking but likely requires manual follow-up analysis to understand the 'why' behind low scores.

優れている点

  • Purpose-built for physician practice patient feedback, so questions are likely industry-relevant out of the box
  • Backed by QuestionPro's broader survey platform, including standard reporting and distribution tools
  • Likely quick to deploy for teams wanting a straightforward, no-frills patient experience survey

物足りない点

  • Static question set with no adaptive AI follow-up to explore reasoning behind low or lukewarm recommendation scores
  • No indication of automated per-response quality scoring or transparent prompt methodology
  • No voice AI interview or guided screen-share task option for richer qualitative capture

よくあるご質問

「Physician Practice Patient 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12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 tell us about your recent visit to (Replace with practice name). Your feedback helps…」・「What best describes your most recent visit to this practice?」・「How easy was it to schedule this appointment?」。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、12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。

このテンプレートを使う無料で始める

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