Patient Satisfaction Survey

This short survey helps the healthcare team understand how patients feel about their visit and find ways to improve care and service.

How satisfied are you with your overall experience at our clinic/hospital? *

Did the staff treat you with respect and courtesy? *

Yes

No

Were your questions answered clearly? *

Yes

No

How would you rate the time you waited before being seen? *

Was the clinic/hospital clean and comfortable? *

Yes

No

Did you feel involved in decisions about your treatment or care? *

Yes

No

Would you recommend our clinic/hospital to family or friends? *

Yes

No

Do you have any suggestions or comments to help us improve?