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Patient satisfaction survey template
Patients rate waiting time, care and how clearly things were explained.
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This is how respondents will see it. You can try every question.
Welcome text
It takes 2 minutes and helps us care for you better.
1.Which department did you visit? *
2.How would you rate the waiting time? *
Very poorExcellent
3.How would you rate the doctor’s manner? *
Very poorExcellent
4.Was your treatment explained clearly?
5.How likely are you to recommend us to a family member?
Not likely at allVery likely