Patient Satisfaction Survey

Patient Satisfaction Questionnaire

Doctors are good about explaining the reason for medical tests

I think my doctor's office has everything needed to provide complete medical care

The medical care I have been receiving is just about perfect

Doctors do not make me wonder if their diagnosis is correct

I feel confident that I can get the medical care I need without being set back financially

When I go for medical care, they are careful to check everything when treating and examining me

I do not have to pay more than I can afford for my medical care

I have easy access to the medical specialists I need

Where I get medical care, people do not have to wait too long for emergency treatment

Doctors are not too businesslike and impersonal toward me

My doctors treat me in a very friendly and courteous manner

Those who provide my medical care are not too much in a hurry when they treat me

Doctors do not ignore what I tell them

I trust the ability of the doctors who treat me

Doctors usually spend plenty of time with me

It's easy to get an appointment for medical care right away

I am satisfied with the medical care I receive

I am able to get medical care whenever I need it

Patient's overall comment:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.