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모든 템플릿

Post-Visit Patient Experience & NPS Survey

Measures patient satisfaction across scheduling, wait times, provider interaction, and telehealth quality using NPS and multi-dimensional experience scales for healthcare organizations seeking actionable improvement insights.

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질문 22개 · 약 10분
Q01
메시지

Welcome to the Post-Visit Patient Experience Survey. We'd like to learn about your most recent healthcare appointment. Your honest feedback helps improve patient care. • This survey takes approximately 6–8 minutes. • There are no right or wrong answers — we value your personal experience. • Your responses are confidential and will be reported only in aggregate. • Participation is voluntary, and you may stop at any time. Please proceed when you are ready.

Q02
드롭다운

When was your most recent healthcare appointment?

  • Within the last 7 days
  • 8–30 days ago
  • 1–3 months ago
  • 3–6 months ago
  • More than 6 months ago
Q03
객관식

What type of visit was your most recent appointment?

  • In person (at clinic or hospital)
  • Video/telehealth (with video)
  • Phone (audio only)
Q04
메시지

We'd like you to think about your interaction with your provider during your most recent visit. Please indicate how much you agree or disagree with each of the following statements.

Q05
의견 척도

Overall, how satisfied are you with your most recent healthcare visit?

척도: 1 – 7
최소:Very dissatisfied최대:Very satisfied
Q06
메시지

Finally, a few optional questions about you for analysis purposes.

Q07
메시지

Thank you for completing this survey. Your feedback is valuable and will be used to improve the care experience for all patients.

Q08
객관식

How did you schedule that appointment?

  • Phone call to the clinic
  • Patient portal or mobile app
  • Clinic or health system website (online form)
  • In person at the clinic
  • My provider/clinic scheduled it for me
  • Other
Q09
의견 척도

How satisfied were you with the wait time before your appointment began?

척도: 1 – 7
최소:Very dissatisfied최대:Very satisfied
Q10
의견 척도

My provider listened carefully to my concerns.

척도: 1 – 7
최소:Strongly disagree최대:Strongly agree
Q11
의견 척도

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

척도: 0 – 10
최소:Not at all likely최대:Extremely likely
Q12
드롭다운

What is your age group?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q13
의견 척도

How easy or difficult was it to schedule your appointment?

척도: 1 – 7
최소:Very difficult최대:Very easy
Q14
의견 척도

If your visit used phone or video, how would you rate the overall technology experience (audio quality, video clarity, ease of connecting)? If your visit was in person, please skip this question.

척도: 1 – 7
최소:Very poor최대:Excellent
Q15
의견 척도

My provider explained things in a way I could understand.

척도: 1 – 7
최소:Strongly disagree최대:Strongly agree
Q16
장문형

Please share one thing that went well and one thing that could be improved about your visit.

Q17
객관식

Which gender do you identify with?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q18
의견 척도

My provider treated me with courtesy and respect.

척도: 1 – 7
최소:Strongly disagree최대:Strongly agree
Q19
AI 인터뷰

Based on your responses, we'd like to explore your visit experience a bit further. Please share your thoughts in a brief conversation.

Q20
드롭다운

In which country or region do you currently live?

  • United States
  • Canada
  • United Kingdom
  • Australia
  • Germany
  • France
  • India
  • Other (please specify)
  • Prefer not to say
Q21
의견 척도

My provider involved me in decisions about my care.

척도: 1 – 7
최소:Strongly disagree최대:Strongly agree
Q22
의견 척도

How clear were your next steps (e.g., medications, tests, follow-up appointments) after the visit?

척도: 1 – 7
최소:Very unclear최대:Very clear

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • Combines a traditional NPS question with multi-dimensional experience scales covering scheduling ease, wait-time satisfaction, telehealth technology quality, and specific provider-interaction dimensions (listening, clarity, respect, involvement in decisions) in one flow
  • Includes an AI follow-up interview that adaptively probes based on each respondent's prior answers, going beyond fixed-choice questions to surface why scores were given
  • Pairs quantitative scales with an open-text question for qualitative feedback and optional demographic questions (age, gender, region) placed at the end so they don't burden the core experience questions
  • Uses chat-message framing throughout to explain survey sections, keeping the flow transparent and reducing respondent drop-off

Jotform

Dental Patient Experience Survey Form Template

A ready-to-field form template focused specifically on dental patient experience rather than general healthcare visits. It's built on Jotform's drag-and-drop form builder, so it's easy to customize fields and branding, but it uses static form logic rather than survey-specific scaling methodology. Useful as a dental-specific starting point, not a general post-visit NPS instrument.

잘하는 점

  • Fielding-ready template that can be customized quickly via Jotform's form builder
  • Benefits from Jotform's broader integrations (payments, e-signatures, notifications) if a clinic already uses the platform
  • Dental-specific framing may resonate well with dental practices specifically

아쉬운 점

  • Static form questions with no adaptive follow-up — cannot probe further into a low satisfaction score
  • No voice AI interview or guided screen-share task option for richer qualitative context
  • Narrower scope (dental only) versus a general medical/telehealth visit experience survey

SurveyMonkey

Patient Satisfaction Survey Template

A fielding-ready post-visit patient satisfaction template from an established survey platform, directly comparable in intent to our NPS/experience survey. It likely benefits from SurveyMonkey's broad distribution and reporting tools, but the questions themselves are fixed multiple-choice/rating items. There's no indication of AI-driven follow-up or per-response quality scoring.

잘하는 점

  • Backed by a mature, widely-used survey platform with strong distribution and basic analytics
  • Template is purpose-built for post-visit patient satisfaction, aligning closely with common healthcare NPS use cases
  • Likely quick to deploy for teams already using SurveyMonkey

아쉬운 점

  • No adaptive AI follow-up questions — all respondents see the same fixed question set regardless of answers
  • No automated per-response quality scoring or transparent prompt methodology published
  • No voice AI interview or guided task/screen-share option for deeper qualitative insight

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