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Patient Satisfaction Survey Template

Ensure constant patient satisfaction with a mobile app

Rated 4.6/5 stars on Capterra | 3k+ app store reviews
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Patient Satisfaction Survey Template
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This 18-question patient satisfaction survey template can help medical professionals quickly determine the level of patient satisfaction on the medical care provided. It uses a 5-point scale and allows feedback on treatment by medical specialists, wait time, ease of getting a specialist, diagnosis received, access to needed treatment, and overall medical care. For best results, conduct this survey via kiosks or mobile devices administered by staff. With this patient satisfaction survey template:

  1. Patients can enter notes to support their answer

  2. Patient identity remains anonymous

  3. Survey results are automatically saved and secured in the cloud

  4. Results gathered over time can provide trends that will help discover strengths and areas for improvement

Patient Satisfaction Survey Template
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See the template in action (opens in new tab)

Why Mitti digital checklists?

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  • What is a Patient Satisfaction Survey?
  • Which Patient Satisfaction Survey Standard Should I Use?
  • How do I Write a Patient Satisfaction Survey?
  • FAQs About Patient Satisfaction Survey

In this article

  • What is a Patient Satisfaction Survey?
  • Which Patient Satisfaction Survey Standard Should I Use?
  • How do I Write a Patient Satisfaction Survey?
  • FAQs About Patient Satisfaction Survey

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Article by

Mitti (by SafetyCulture) Content Team

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4 min read

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23 Feb 2024

What is a Patient Satisfaction Survey?

A patient satisfaction survey is a tool used to gather patient feedback regarding the quality of service and medical treatment provided by hospitals and medical practices. Patient satisfaction is equally important as customer satisfaction. With greater scrutiny on patient experience driven by online review sites and government star rating systems (HCAHPS), patient surveys can help practices identify, measure, and address performance gaps.

Which Patient Satisfaction Survey Standard Should I Use?

According to an article in the Oman Medical Journal, there are three patient satisfaction survey standards in use today: PSQ-18; HCAHPS; and PEQ-15. The major difference between them is the number of questions they ask. PSQ-18 has 18 questions, HCAHPS has 29 questions, and PEQ-15 has 15 questions. The three patient satisfaction survey standards also measure different aspects of patient experience as can be seen in the table below.

Patient Satisfaction Survey Standards

PSQ-18

HCAHPS

PEQ-15

Discharge information

Information and education

Communication

Communication with nurses and doctors

Coordination of care

Technical quality

Cleanliness and quietness of the hospital environment

Physical comfort

Time spent with a doctor

Emotional support

Accessibility of care

Responsiveness of hospital staff

Respect for patient preferences

Interpersonal manner

Whether or not they would recommend the hospital

Involvement of family and friends

Financial aspects of care

Communication about medicines

Continuity and transition

Overall rating of hospital

Overall impression

How do I Write a Patient Satisfaction Survey?

After choosing a standard to use as the basis for your patient satisfaction surveys, it’s time to start thinking of the questions you’ll ask. While writing a patient satisfaction survey can be a daunting task, it is ultimately a necessary part of running a practice, clinic, or hospital. Your patients are the most important part of your business, and these surveys can help you deliver a better experience so they’ll keep coming back. Ensure that patients get the care and attention they need with these three easy tips:

Tip #1 Create simple questions that are easy to answer Know what needs to be measured so that you can create relevant questions that are also easy for patients to answer. The goal of a patient satisfaction survey is to better understand the patient experience. The following are some of the common questions asked in a patient satisfaction survey questions:

  • Is my doctor able to explain the reason for medical tests well?

  • Does my doctor have all the necessary equipment and tools to provide complete medical care?

  • Did I have to wait too long to get medical treatment?

  • Do doctors and medical staff treat me in a courteous and friendly manner?

  • Am I satisfied with the medical care I receive?

Here is an example patient satisfaction survey questionnaire with 18 standard questions you can download and customize for your practice.

Tip #2 Plan on how the patient survey will be conducted The patient’s welfare should always be given the utmost consideration. Conduct the patient survey at the patient’s earliest convenient time. You can do the patient survey while they are in the waiting room before a doctor’s appointment or before checking out post-admission. You can also conduct surveys through a phone call; however, delays should be avoided in conducting the patient survey because this can have a negative impact on overall patient satisfaction.

Tip #3 Take advantage of available technology Technology has made conducting surveys more convenient and streamlined. Unlike paper-based patient questionnaires, digital patient satisfaction surveys allow the collection of data via mobile devices at the patient’s convenience. Patient surveys conducted through strategically placed kiosks have better chances of being completed while the patient experience is still fresh.

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FAQs About Patient Satisfaction Survey

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Article by

Mitti (by SafetyCulture) Content Team

Mitti (by SafetyCulture) Content Contributor

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Templates

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Patient Satisfaction Questionnaire

This patient satisfaction questionnaire can be administered by medical secretaries or clinic staff to gauge patient satisfaction after a doctor’s consultation or after receiving medical treatment. Using a mobile device, this digitized questionnaire serves as a patient feedback survey covering:

  1. Facility

  2. Staff

  3. Setting appointments

  4. Overall patient experience

  5. Suggestion/s on how to improve overall patient experience

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Patient Survey Template

This patient survey template based on the HCAHPS Survey is designed to measure the quality of hospital care and other inpatient services administered to admitted patients. This digital survey uses conditional logic to hide or display relevant succeeding questions based on precedent answers and uses “failed items” to determine which areas in patient care need priority.

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