Sample Patient Satisfaction Survey Questions

Developed by Data Management & Research, Inc., Nashville, Tennessee


ACCESS: Arranging for and Getting Care
How satisfied were you with the amount of time you waited in the procedure room to see your physician?

INTERPERSONAL CARE: Courtesy and Personal Manners
How satisfied were you with the respect and concern shown by your physician?

COMMUNICATION
How satisfied were you with the explanation you were given as to what to do and what to expect when you return home?

ENVIRONMENT
How satisfied were you with the cleanliness of the waiting and procedure rooms?

QUALITY OF MEDICAL CARE
How satisfied were you with the thoroughness and completeness of your exam and medical treatment?

BILLING
How satisfied were you with the helpfulness and courtesy of the billing personnel?

ACCESS TO FACILITY
How satisfied were you with the signs directing you to parking, building entrances and offices?


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