Design A Patient Survey

Full Answer Section

1. How courteous and professional were the hospital staff you interacted with (doctors, nurses, technicians, etc.)?
   • Excellent
   • Very Good
   • Good
   • Fair
   • Poor
2. Were you kept well-informed about your diagnosis, treatment plan, and discharge instructions?
   • Always
   • Most of the Time
   • Sometimes
   • Rarely
   • Never
3. Did the hospital staff effectively address your questions and concerns in a timely manner?
   • Always
   • Most of the Time
   • Sometimes
   • Rarely
   • Never
4. How clean and comfortable were your hospital room and facilities?
   • Excellent
   • Very Good
   • Good
   • Fair
   • Poor
5. Rate the quality of the meals you received during your stay.
   • Excellent
   • Very Good
   • Good
   • Fair
   • Poor
6. Did the hospital staff provide clear instructions for your follow-up care after discharge?
   • Yes
   • No
   • Unsure
7. On a scale of 1 (strongly disagree) to 5 (strongly agree), how well did the hospital staff communicate with each other about your care?
   • 1 (Strongly Disagree)
   • 2
   • 3
   • 4
   • 5 (Strongly Agree)
8. Would you recommend Hopeville General Hospital to friends and family?
   • Yes
   • No
   • Unsure
9. Do you have any additional comments or suggestions for how we can improve your patient experience?
   • Open Ended Text Box

• Delivery Method:The survey will be distributed electronically via email. The link to the survey will be included in the discharge paperwork provided to all patients upon their release from the hospital.
• Target Audience:All discharged patients from Hopeville General Hospital will be invited to participate in the survey.
• Incentive:An optional section at the end of the survey will allow patients to enter a drawing for a chance to win a gift basket of healthy living products.

Sample Solution

Patient Satisfaction Survey - Hopeville General Hospital

Introduction:

Thank you for choosing Hopeville General Hospital for your recent healthcare needs. Your feedback is important to us as we strive to continuously improve the patient experience. Please take a few minutes to complete this anonymous survey. Your honest responses will help us identify areas where we excel and areas where we can improve.

Survey Questions (10):

1. Overall, how satisfied were you with the care you received at Hopeville General Hospital?
   • Very Satisfied
   • Satisfied
   • Neutral
   • Dissatisfied
   • Very Dissatisfied