Oncology Patient Experience & Care Coordination Survey
Measures oncology patient perceptions of care access, appointment scheduling, provider coordination, and navigation support services. Designed for healthcare systems seeking to identify actionable gaps across the oncology care journey.
What's Included
AI-Powered Questions
Intelligent follow-up questions based on responses
Automated Analysis
Real-time sentiment and insight detection
Smart Distribution
Target the right audience automatically
Detailed Reports
Comprehensive insights and recommendations
Template Overview
26
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat Message
Welcome to the Oncology Patient Experience Survey.
This survey asks about your recent experiences with oncology care, including scheduling, care coordination, and support services. Your responses will help us identify areas for improvement.
• Participation is voluntary and you may stop at any time.
• There are no right or wrong answers — we want your honest opinions.
• All responses are confidential and will be reported only in aggregate.
• Estimated time: 7–10 minutes.
By continuing, you indicate that you have read and understood this information and consent to participate.
Q2
Dropdown
When was your most recent oncology appointment?
Within the last 30 days
31–90 days ago
3–6 months ago
6–12 months ago
More than 12 months ago
I have not had an oncology appointment
Q3
Multiple Choice
In the last 6 months, which types of oncology care did you use? Select all that apply.
Medical oncologist
Radiation oncologist
Surgical oncologist
Infusion/chemotherapy center
Imaging/radiology
Survivorship/after-treatment clinic
Palliative care
Other (please specify)
None of the above
Q4
Opinion Scale
Overall, how easy has it been to access the oncology care you needed in the last 3 months?
Is there one person who helps coordinate your oncology care across providers?
Yes
No
Not sure
Q13
Multiple Choice
After your most recent visit, did you receive a written or electronic care plan with next steps?
Yes
No
Not sure
Q14
Multiple Choice
In the last 6 months, which navigation or support services did you use? Select all that apply.
Nurse navigator
Care coordinator
Social worker
Financial counselor
Transportation assistance
Language interpreter
Education classes or materials
Other (please specify)
I did not use any of these services
Q15
Opinion Scale
Overall, how helpful were the navigation or support services you used?
Range: 1 – 7
Min: Not at all helpfulMid: NeutralMax: Extremely helpful
Q16
Opinion Scale
In the last 3 months, how clear was the information you received about your treatment options?
Range: 1 – 7
Min: Very unclearMid: NeutralMax: Very clear
Q17
Multiple Choice
In the last 3 months, which ways did your care team communicate with you between visits? Select all that apply.
Phone calls
Patient portal messages
Email
Text/SMS
Video visit/telehealth
Printed letters
Other (please specify)
No contact between visits
Q18
Long Text
Based on your experiences described in this survey, what could we improve to make navigating and coordinating your oncology care easier?
Max chars
Q19
AI Interview
We'd like to learn more about your oncology care experience. An AI moderator will ask you a couple of follow-up questions based on your responses.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 5
Q20
Dropdown
What is your age?
18–24
25–34
35–44
45–54
55–64
65–74
75 or older
Prefer not to say
Q21
Multiple Choice
Which best describes your gender?
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Q22
Dropdown
What is your country of residence?
United States
Canada
United Kingdom
Australia
Germany
France
India
Other (please specify)
Prefer not to say
Q23
Dropdown
What is the highest level of education you have completed?
Less than high school
High school diploma or equivalent
Some college or 2-year degree
Bachelor's degree
Graduate or professional degree
Prefer not to say
Q24
Multiple Choice
What is your current employment status?
Employed full-time
Employed part-time
Self-employed
Unemployed and looking for work
Student
Retired
Homemaker/caregiver
Not currently working due to health or other reasons
Prefer not to say
Q25
Multiple Choice
Which racial or ethnic groups do you identify with? Select all that apply.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino/a/x
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Another group
Prefer not to say
Q26
Chat Message
Thank you for completing this survey. Your feedback is invaluable and will be used to improve oncology care access, scheduling, and coordination for patients like you.
Frequently Asked Questions
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