Healthcare Service Satisfaction Questionnaire Template

7
Questions
Use This Template

Healthcare Service Satisfaction Questionnaire Template

Your feedback is invaluable in helping us enhance our healthcare services. Please take a moment to share your experience with us.
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*How would you rate your overall satisfaction with the healthcare services received?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
*Were you satisfied with the time it took from your arrival until you were seen by a healthcare provider?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
*How would you describe the friendliness and professionalism of the staff?
Very Friendly and Professional
Somewhat Friendly and Professional
Neutral
Somewhat Unfriendly and Unprofessional
Very Unfriendly and Unprofessional
*How satisfied were you with the clarity of information and communication provided by your healthcare provider?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
*How would you rate the cleanliness of the healthcare facility?
Very Clean
Clean
Neutral
Unclean
Very Unclean
*How satisfied are you with the outcome of your care and treatment?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
*How likely are you to recommend our healthcare services to friends or colleagues?
Impossible
Very Likely
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