When was your most recent healthcare appointment?
How did you schedule that appointment?
- Phone call to the clinic
- Patient portal or mobile app
- Clinic or health system website (online form)
- In person at the clinic
- My provider/clinic scheduled it for me
- Other
How easy or difficult was it to schedule your appointment?
What type of visit was your most recent appointment?
- In person (at clinic or hospital)
- Video/telehealth (with video)
- Phone (audio only)
If your visit used phone or video, how would you rate the technical aspects? If it was in person, select Not applicable for each row.
Attention check: To confirm attention, please select "I am paying attention" below.
- I am paying attention
- I am not paying attention
- Prefer not to answer
Thinking about your most recent appointment, how much do you agree or disagree with each statement?
How clear were your next steps (e.g., medications, tests, follow-up) after the visit?
How likely are you to recommend this clinic or provider to others?
Please share one thing that went well and one thing to improve.
Max 600 chars
Which gender do you identify with?
- Woman
- Man
- Non-binary
- Prefer not to say
Country or region where you live:
Max 100 chars
What is the highest level of education you have completed?
What is your current employment status?
- Employed full-time
- Employed part-time
- Self-employed
- Unemployed
- Student
- Homemaker/caregiver
- Retired
- Prefer not to say
Welcome! Please answer based on your most recent healthcare appointment. There are no right or wrong answers.
Is there anything else you would like us to know about your experience?
Max 600 chars
AI Interview: 2 Follow-up Questions on your visit experience
Thank you for completing the survey. Your feedback helps improve patient care.