Post-Visit Patient Support & Education Experience Survey

Welcome, and thank you for participating. This brief survey (approximately 5 minutes) asks about your most recent healthcare visit. Your participation is 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 improve patient care.

When was your most recent healthcare visit?

• Within the last 30 days
• 1–3 months ago
• 3–6 months ago
• 6–12 months ago
• More than 12 months ago
• I have not had a visit in the past 12 months

How easy was it to reach your care team when you needed help?

The explanations I received about my condition and treatment were clear and easy to understand.

The different providers involved in my care seemed to share information effectively with each other.

How confident are you in managing your health based on what you learned during your visit?

We'd like to understand your experience in more detail. An AI moderator will ask you a couple of brief follow-up questions about the support and education you received.

What is your age?

• 18–24
• 25–34
• 35–44
• 45–54
• 55–64
• 65–74
• 75+
• Prefer not to say

Thank you for completing this survey. Your feedback is valuable and will be used to improve patient support, education, and care coordination.

What type of care setting did you visit most recently?

• Primary care / family medicine
• Specialist clinic
• Hospital outpatient clinic
• Emergency or urgent care
• Telehealth / virtual visit
• Behavioral or mental health
• Other

Which of the following support channels did you use to get help? Select all that apply.

• Phone call
• Patient portal messages
• Email
• Text / SMS
• In-person nurse line or walk-in
• 24/7 helpline
• Support group or peer navigator
• None of the above
• Other

Were your questions answered in a way you could understand?

• Yes, completely
• Yes, somewhat
• No
• I did not have questions

Before you left, did you have a clear plan for your next steps in care?

• Yes, a written plan
• Yes, a verbal plan only
• Partly
• No
• Not applicable

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

What went particularly well during your most recent visit?

Which best describes your gender?

• Woman
• Man
• Non-binary
• Another identity
• Prefer not to say

Which of the following educational resources did you find useful during or after your visit? Select all that apply.

• Printed handouts or brochures
• Videos or multimedia content
• Patient portal articles or guides
• Verbal explanations from a provider
• Online resources recommended by the care team
• Mobile app or digital tools
• None of the above
• I was not offered educational resources
• Other

If you were referred to another provider, approximately how long did you wait between the referral and the appointment?

• Less than 1 week
• 1–2 weeks
• 2–4 weeks
• 1–2 months
• More than 2 months
• I am still waiting
• Not applicable — I was not referred

Based on your responses in this survey, is there anything else we could improve about support, education, or care coordination?

Where do you currently live?

• United States
• Canada
• United Kingdom
• Australia
• India
• Other
• Prefer not to say

What is the highest level of education you have completed?

• Less than high school
• High school or equivalent
• Some college or technical training
• Bachelor's degree
• Graduate or professional degree
• Prefer not to say

Do you currently live with any ongoing health conditions? Select all that apply.

• Diabetes
• Heart or circulatory condition
• Respiratory condition (e.g., asthma, COPD)
• Mental health condition
• Musculoskeletal or pain condition
• Neurological condition
• None of the above
• Other
• Prefer not to say