Survey Questionnaire Example
Survey questionnaires are used in everyday life for purposes of finding specific information from people concerning a product or a service. These questionnaires are important as they foster accountability and consistency in the society upon evaluation. The respondents give the information seeker an opportunity to know what works in the market and outlines ways of improvement and progress.
An Example of a Patient Survey Questionnaire
Male / Female
Type of Patient
Do you have health insurance?
How are the prices of our health care services?
How often do you attend our Hospital?
How would you rate the care and service given by the following departments?
What improvements would you suggest for our Hospital?
How is our customer service and health care in general?
________ Needs improvement
Would you recommend our health care services to your friends and relatives? (Kindly respond with yes / no as appropriate)
One of our goals is to be a community health care provider. Do you think our health care and facilities are accessible?
Kindly explain your answer
Our goal is to give quality health care at reasonable and affordable prices. Do you think we have achieved this?
What suggestions would you recommend?
Category: Survey Questionnaire