1
How would you rate the care and service you received?
RequiredCreates a consistent numeric measure that can be compared across respondents. It is required in this starting template, but you can change that in the builder.
Healthcare template
Patient satisfaction survey
Measure satisfaction and collect practical ideas about the care and service you received.
3 minute estimate5 fully editable questionsNo account needed to preview
Full question preview
What this template asks
2
Which part had the greatest effect on your experience?
RequiredProvides a structured answer that is straightforward to compare and segment. It is required in this starting template, but you can change that in the builder.
QualityServiceSpeedValue for moneyConvenience
3
Did the experience meet your expectations?
RequiredProvides a structured answer that is straightforward to compare and segment. It is required in this starting template, but you can change that in the builder.
4
What worked particularly well?
Captures context, examples, and ideas that fixed options may miss. It is optional so respondents can continue when it does not apply.
5
What is the one thing we should improve?
Captures context, examples, and ideas that fixed options may miss. It is optional so respondents can continue when it does not apply.
Sample-size considerations
Follow the study protocol and applicable ethics requirements. Clinical or sensitive health studies normally require specialist review beyond a general survey template.
Best practices
Minimise health identifiersExplain confidentiality and limitsProvide an urgent-care route outside the survey
Common mistakes
Using a survey as emergency clinical supportCollecting diagnoses without safeguardsMaking medical claims from an unrepresentative sample
Frequently asked questions
Can I edit the patient satisfaction survey template?
Yes. Every question, answer option, required setting, section, theme, and eligible logic rule can be changed in Surveyor before you publish.
Can I preview the questionnaire before signing up?
Yes. The respondent preview is available without an account. An account is required only when you want to create and save an editable survey in a protected workspace.
Last reviewed 2 August 2026
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