Health Care Satisfaction Questionnaire


A health care satisfaction questionnaire is one that is obtained by a health care unit from its patients. The primary aim of this questionnaire is to seek the opinion of the patients with regard to the health care services provided by it. It will enable the medical companies or health related government authorities to ascertain the implementation of health care standard practices. It is essential to know about the quality of the services extended to the patients and to further improve them.  Below is a sample Health insurance satisfaction questionnaire that helps to understand the patients overall satisfaction regarding the health care services availed:

Sample Health Care Satisfaction Questionnaire

Name of the Patient        ___________________________

Contact Details                 ___________________________

Address of the patient ­   ___________________________

City­­­­­­­­­­­ ____________________________ Zip

Q1) Did the hospital authority attended you immediately as soon as you reached there?

a) Yes

b) No __________________

Q2) Please provide the kind of health care services availed to you?

Give the details _______________________

Q3) What do you think about the quality of treatment?

a) Good

b) Bad

Q4) How was the behaviour of the doctors towards the patient?

a) Good

b) Bad

Q5) How was the recovery with the medicine and treatment offered to you?

a) Slow

b) Fast

Q6) Was the access to the emergency department easy and attended to in a timely manner?

a) Yes

b) No

Q7) Was the access to healthcare services satisfactory?

a) Yes

b) No

Q8) Do you think the family were members treated in a proper manner and were provided with the necessary information required for treatment and procedures?

a) Yes

b) No

c) To some extent

Q9) Please provide your overall satisfaction about the healthcare services in a brief manner below?

____________________________________________________

Q10) What changes would you like to see in the services offered so as to serve you better?

____________________________________________________

Category: Health Questionnaire, Satisfaction Questionnaire

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