모든 템플릿

Patient Experience Survey: Access, Communication & Care Quality

Measures patient satisfaction across appointment access, provider communication, follow-up timeliness, and digital touchpoints for healthcare organizations seeking actionable improvement insights and NPS benchmarking.

샘플 질문

템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.

질문 23개 · 약 10분
Q01
메시지

Welcome, and thank you for taking the time to share your experience. This brief survey asks about your most recent healthcare visit within the past 6 months and should take about 11 minutes to complete. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers—we are interested in your honest opinions. All responses are confidential and will be reported only in aggregate to help us improve the care we provide.

Q02
드롭다운

When was your most recent visit or interaction with us?

  • Within the last 7 days
  • 2–4 weeks ago
  • 1–3 months ago
  • 3–6 months ago
Q03
객관식

How did you schedule or start that visit?

  • Website
  • Mobile app
  • Phone call
  • Walk-in
  • Referral link or email
  • Third-party marketplace
  • Other
Q04
메시지

We'd like to understand your communication experience with your provider. Please indicate how much you agree or disagree with each statement.

Q05
객관식

After your visit, did you receive follow-up information or results?

  • Yes, within 24 hours
  • Yes, within 2–3 days
  • Yes, but later than 3 days
  • No follow-up was needed
  • No, I expected follow-up but did not receive it
Q06
객관식

Which of the following digital features, if any, did you use for this visit? Select all that apply.

  • Online booking
  • Secure messaging
  • View lab results
  • Prescription refill
  • Payment/checkout
  • Order tracking for meds/devices
  • None of the above
Q07
장문형

Based on your experience, what is one thing we could improve for patients like you?

Q08
객관식

What is your age group?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q09
메시지

Thank you for your feedback—your responses will help us improve care for patients like you.

Q10
객관식

What type of care did you receive most recently?

  • Primary care
  • Specialist visit
  • Urgent care
  • Telehealth/video visit
  • Message-only consult
  • Lab or imaging
  • Pharmacy/medication delivery
  • Other
Q11
의견 척도

Overall, how easy was it to get the care you needed?

척도: 17
최소:Very difficult최대:Very easy
Q12
의견 척도

My provider listened carefully to me.

척도: 17
최소:Strongly disagree최대:Strongly agree
Q13
평점 척도

Overall, how would you rate your experience with the clinician you saw?

범위: 15
최소:Poor최대:Excellent
Q14
의견 척도

How easy was the website or app to use for your needs?

척도: 15
최소:Very difficult최대:Very easy
Q15
AI 인터뷰

We'd like to learn a bit more about your visit. An AI moderator will ask you a couple of brief follow-up questions based on your responses.

Q16
객관식

What is your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q17
드롭다운

Approximately how long did you wait past your scheduled appointment time?

  • Seen on time or early
  • 1–10 minutes
  • 11–20 minutes
  • 21–30 minutes
  • 31–45 minutes
  • More than 45 minutes
  • Not applicable (e.g., telehealth, walk-in)
Q18
의견 척도

My provider explained things in a way I could understand.

척도: 17
최소:Strongly disagree최대:Strongly agree
Q19
의견 척도

My main health concern was addressed or resolved during this visit.

척도: 17
최소:Strongly disagree최대:Strongly agree
Q20
드롭다운

In which country do you currently reside?

  • United States
  • United Kingdom
  • Canada
  • Australia
  • European Union
  • Other country
  • Prefer not to say
Q21
의견 척도

My provider showed respect for what I had to say.

척도: 17
최소:Strongly disagree최대:Strongly agree
Q22
의견 척도

How likely are you to recommend our care to a friend or family member?

척도: 010
최소:Not at all likely최대:Extremely likely
Q23
의견 척도

I felt involved in decisions about my care.

척도: 17
최소:Strongly disagree최대:Strongly agree

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

  • Includes a dedicated AI follow-up interview segment that lets patients elaborate on their visit in their own words, beyond fixed-choice questions
  • Covers the full experience arc in one instrument: appointment access and wait time, provider communication (listening, clarity, respect, involvement), follow-up timeliness, and digital touchpoint usage
  • Pairs a clinician rating and an explicit recommend-likelihood question with an open-text improvement prompt, giving both quantifiable NPS-style benchmarking and qualitative signal
  • Uses transparent, reviewable question and interview prompts plus automated scoring, so healthcare teams can audit exactly what was asked and how responses were evaluated

SurveySparrow

Free Patient Satisfaction Survey Template | For Healthcare Industry

A ready-to-use static patient satisfaction template covering standard experience dimensions like care quality and staff interaction. It's built for quick deployment across chat-style or classic survey formats but relies on fixed questions rather than adaptive probing. Good for teams wanting a fast baseline NPS-type survey without deeper qualitative follow-up.

잘하는 점

  • Free, ready-to-field template aimed specifically at healthcare patient satisfaction
  • Supports SurveySparrow's conversational-style survey format for better completion rates
  • Likely includes standard satisfaction and NPS-style questions out of the box

아쉬운 점

  • No adaptive AI follow-up interview to probe individual patient answers in real time
  • No indication of automated per-response quality scoring or transparent prompt methodology
  • Static question set means all patients see the same questions regardless of their answers

QuestionPro

Health Insurance Satisfaction Survey Template

This template is focused on health insurance satisfaction rather than direct patient care experience (access, provider communication, follow-up), so it targets a narrower and somewhat different use case than a clinical patient experience survey. It's a standard fielding-ready form template within QuestionPro's broader survey platform. Useful if the goal is plan/insurer feedback rather than care-quality benchmarking.

잘하는 점

  • Ready-to-use template within an established enterprise survey platform
  • Likely includes robust reporting and cross-tab analysis tools typical of QuestionPro
  • Can be customized within a mature survey-logic builder

아쉬운 점

  • Template topic (insurance) is not a direct match for care-quality/provider-communication measurement
  • No adaptive AI-driven follow-up interviews or voice AI interview option
  • No transparent, auditable prompt-level methodology for how responses are scored

SurveyMonkey

Patient Satisfaction Survey Template

A post-visit patient satisfaction template covering common experience touchpoints, positioned as a straightforward fielding-ready survey. It's built on SurveyMonkey's traditional question-and-logic survey engine rather than any conversational or AI-driven interview format. Solid for basic post-visit pulse checks but limited for deeper qualitative insight.

잘하는 점

  • Ready-to-field template from a well-known, widely trusted survey platform
  • Likely supports skip logic and benchmarking against SurveyMonkey's question bank
  • Simple setup for post-visit satisfaction pulse surveys

아쉬운 점

  • No adaptive AI or voice AI interview component for deeper follow-up on patient answers
  • No automated per-response quality scoring described
  • Fixed-form structure only, without guided screen-share tasks or conversational probing

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