Design A Patient Survey

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

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
Survey Distribution:
  • 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.
Confidentiality: We appreciate your honest feedback. This survey is completely anonymous. No individual responses will be linked to your medical record or personal information.  

IS IT YOUR FIRST TIME HERE? WELCOME

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