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
템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.
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?
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.
설문을 공개할 준비가 되셨나요?
이 템플릿을 편집기에서 열어 보세요. 첫 응답자가 보기 전에 모든 부분을 원하는 대로 바꿀 수 있습니다.
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