모든 템플릿

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.

샘플 질문

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질문 22개 · 약 10분
Q01
메시지

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.

Q02
드롭다운

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
Q03
드롭다운

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)
Q04
의견 척도

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

척도: 17
최소:Very difficult최대:Very easy
Q05
의견 척도

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

척도: 17
최소:Not at all clear최대:Extremely clear
Q06
의견 척도

Overall, how satisfied were you with this visit?

척도: 17
최소:Not at all satisfied최대:Extremely satisfied
Q07
장문형

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

Q08
드롭다운

What is your age group?

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

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

Q10
드롭다운

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
Q11
드롭다운

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
Q12
의견 척도

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

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

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
Q14
의견 척도

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

척도: 17
최소:Not at all likely최대:Extremely likely
Q15
AI 인터뷰

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.

Q16
객관식

Which best describes your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q17
의견 척도

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

척도: 17
최소:Very unreasonable최대:Very reasonable
Q18
의견 척도

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

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

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
Q20
드롭다운

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
Q21
객관식

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
Q22
의견 척도

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

척도: 17
최소:Not at all confident최대:Extremely confident

포함된 기능

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