CAHPS-aligned survey for healthcare providers. Measure patient satisfaction with scheduling, wait times, provider communication, and overall care quality.
This patient experience survey is designed for clinics, hospitals, dental practices, and multi-provider healthcare organizations. It aligns with CAHPS (Consumer Assessment of Healthcare Providers and Systems) principles while remaining concise enough for high completion rates.
The template focuses on the key drivers of patient satisfaction: access and scheduling, wait times, provider communication, staff courtesy, facility quality, and clarity of follow-up instructions. The NPS question gives you a single loyalty metric to track over time.
How would you rate your overall experience at our facility?
How easy was it to schedule your appointment?
How reasonable was your wait time before being seen?
How well did the provider explain your condition and treatment options?
Did the provider listen carefully to your questions and concerns?
How would you rate the courtesy and respect shown by office staff?
How clean and comfortable was the facility?
Were your privacy and confidentiality respected during your visit?
Were your discharge or follow-up instructions clear and easy to understand?
How likely are you to recommend this provider to family or friends?
What did we do well during your visit?
How could we improve your experience in the future?
Send surveys within 24-48 hours of the visit for highest response rates and most accurate recall.
Ensure your survey complies with HIPAA -- avoid collecting PHI unless your platform supports it.
Add department or provider-specific questions to compare satisfaction across your practice.
Use conditional logic: if wait time is rated below 3, ask what the approximate wait was in minutes.
Consider separate templates for telehealth vs. in-person visits as the touchpoints differ.
Share results with clinical staff in aggregate to maintain patient anonymity while driving improvement.
Deploy patient surveys via QR code, email, or SMS. Analyze feedback with AI and identify improvement opportunities across your practice.