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30 Health Survey Questions for Health Assessment & Patient Feedback

30 Health Survey Questions for Health Assessment & Patient Feedback

Over the past few years, our patients have seen a massive hike in health treatment & medical expenses. As a result, they are now more aware of the quality of care & treatment and actively using those healthcare services that yield them maximum patient satisfaction.

With the growing importance of health assessment, patients are more concerned about how their healthcare needs will be addressed by the healthcare system. Health Assessment plays a crucial role in identifying and evaluating the specific needs or health status of an individual or of a large number of population. Healthcare organizations usually do a health assessment by conducting a physical exam through health assessment survey questions or assessing patient health state via a remote patient monitoring solution.

This practice enables them to quickly identify the gaps in patient care and fill it to keep their patients happy and satisfied. When it comes to interacting with your patients or taking their feedback, a well-designed Patient Feedback Software provides you with a good mix of Health Survey Questions for health assessment and patient feedback.

What are the Health Survey Questions?

Health Survey Questions or questionnaires comprise a set of questions that enables you to collect Patient Feedback and Patient Data based on their care and treatment experience using patient self service kiosk. Patient Surveys and Questionnaires comprises evaluation-based questions that enable the hospitals to capture data and to understand the overall health of the patients and other risk factors that lead to a decline in patient satisfaction.

Asking the right questions at the right time can help you to acquire valuable patient-powered data.

30 Health Survey Questions for Health Assessment & Patient Feedback

Introductory Questions

1. How healthy do you consider yourself on a scale of 1 to 10?

2. How often do you get a health checkup?

  • Once in 3 months
  • Once in 6 months
  • Once a year
  • Only when needed
  • Never get it done
  • Other

3. What do you say about your overall health?

  • Having Good Physical Health
  • Moderately physically impaired
  • Severely physically impaired
  • Totally physically impaired

Health Assessment Survey Questions

4. Do you have any chronic diseases?

  • Yes
  • No

5. Do you have any hereditary conditions/diseases?

  • High blood pressure
  • Diabetes
  • Hemophilia
  • Thalassemia
  • Huntington
  • Other (Please specify)

6. Are you habitual to drugs and alcohol?

  • Yes to both
  • Only to drugs
  • Only to alcohol
  • I am not habituated to either

7. Over the past 2 weeks, how often have you felt nervous, anxious, or on edge?

  • Not all
  • Several days
  • More days than not
  • Nearly every day

8. Over the past 2 weeks, how often have you felt down, depressed, or hopeless?

  • Not all
  • Several days
  • More days than not
  • Nearly every day

9. Over the past 2 weeks, how often have you felt little interest or pleasure in doing things?

  • Not all
  • Several days
  • More days than not
  • Nearly every day

10. How would you describe the condition of your mouth and teeth, including false teeth or dentures?

  • Excellent
  • Good
  • Average
  • Poor

11. How often do you have trouble taking medicines the way you have been told to take them?

  • I do not have to take medicine
  • I always take them as prescribed
  • Sometimes I take them as prescribed
  • I seldom take them as prescribed

12. On how many of the last 7 days did you engage in moderate to strenuous exercise (like a brisk walk)?

  • 0 Day
  • 1 Day
  • 2 Days
  • 3 Days
  • 4 Days
  • 5 Days
  • 6 Days
  • 7 Days

13. In general, would you say your health is:

Hospital Related Questions

14. How would you rate the diagnosis process that you experienced?

  • Excellent
  • Above average
  • Average
  • Below average
  • Very poor

15. What is the difference in the care provided by the hospitals available in your area?

16. Overall, how do you rate us as compared to other local hospitals in your area?

  • Excellent
  • Above average
  • Average
  • Below average
  • Very poor

Primary Care Providers Related Questions

17. Is your primary health care physician able to conduct a swift diagnosis and prescribe medication?

Secondary Care Providers Related Questions

18. Did the pharmacy staff collect the right deductible from you for your medicines?

19. How would you rate our ambulance service?

  • Excellent
  • Good
  • Average
  • Poor

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Health Insurance Related Questions

20. Please state your level of agreement to the statement: Health insurance is affordable to you.

21. Has any of your family members been dropped out of coverage after a diagnosis of any illness?

General Questions

22. How easy was it to schedule an appointment at our facility?

23. How long did you wait beyond your appointment time to be seen by a provider?

24. How well do you feel the provider listened to your health concerns?

25. Please rate how thorough you feel the provider’s instructions for care were

26. How well do you feel the provider answered your questions?

27. How was our pharmacy staff?

28. How satisfied are you with the cleanliness of our facility?

29. How would you rate the overall care you received from your provider?

30. How likely are you to recommend our facility to your friends and family?

What to Consider While Designing a Health Survey Questionnaire?

While designing a health survey questionnaire besides adding the right questions there are some other crucial factors that are responsible for driving a higher number of responses.

1. Survey Goals - Before designing your questionnaire or choosing survey questions, always keep your survey goals in your mind. Determine what answers you intend to derive from your patients. A well-defined survey goal leads to better planning and good planning will help you to position your survey in a better way to collect valuable and actionable patient feedback.

2. Respondents - Identifying your target audience will not help you to streamline your health survey but also provides you with a great understanding of choosing valuable questions. Always keep the respondent’s place, age, maturity and cognition in mind while designing health surveys for your patients. If you’re using Excel or Google Sheets, use drop-down lists to segment your respondents.

For example, a thorough study about your targeted patients (respondents), their cultural or educational background would help you to create accurate questions that are easy to understand and respond to. Say if the question is difficult, there you can provide them with memory aids in the form of options, radio buttons, or just health awareness as a newsletter.

3. Duration - Usually, respondents are likely to abandon the long and time-consuming surveys. Besides survey questions, survey duration is also a game-changer, when it comes to driving quality responses. So, always keep your patient feedback survey form or health survey form simple and crisp.

How Zonka Feedback Contributes to Make Your Health Survey a Great Success

Zonka Feedback provides you with the automated feedback system that not only captures inpatient & outpatient feedback on iPad, Android Tablets, through the website, email, and SMS but also enables you to analyze, manage and close the feedback loop in a jiffy. 

Apart from capturing, analyzing, and managing patient feedback, there are other various exciting features that can make Zonka Feedback your ultimate feedback partner:

  1. 30+ Types of Survey Questions - Zonka Feedback offers you to choose from over 30+ survey questions to create health surveys. Choose Zonka Feedback to capture the CAST of patients, Net Promoter Score, Customer Effort Score, comments and much more.
  2. Pre-built Survey Templates - Zonka Feedback has a lot of expert Patient Feedback Form & Healthcare Survey templates that can be used right out-of-the-box or can be customized to your needs. 
  3. White-Labeled Surveys - Zonka Feedback offers you complete control over the look and feel of your survey form. Here you get everything to white-label your surveys and represent your brand while patients give you feedback and fill out surveys. 
  4. Skip Logic & Branching - Skip Logic & Branching feature enables you to direct respondents through different paths (page or questions) in a survey based on their experience. You can skip or hide a few screens of the survey based on respondents’ answers. For example, If the customer had a bad screen, they could continue to the next screen where you ask them questions about how you can improve. Whereas for customers who had a good experience you can skip the screen.
  5. Real-Time Feedback Report & Analysis - With Zonka Feedback’s real-time reporting & analysis feature, you can monitor every feedback and get an in-depth analysis of all responses. Take action on negative patient feedback to swiftly resolve issues and improve the patient experience.
  6. Close Patient Feedback Loop - Zonka Feedback enables you to track real-time patients’ responses and immediately notify you about the negative patient feedback. This helps you to quickly act on the negative feedback and address the concern to improve the patient experience.

A well-structured Patient  Survey Tool packed with the above features cannot only contribute to enhancing the level of the care and treatment but also helps you to procure and retain patients.

Learn more about the Patient Feedback

Published on Mar 18, 2020. Updated on Oct 11, 2022.


Written by Archit

Mar 18, 2020

Experienced Content Writer and Strategist, been in the IT industry for the last 7 years. Associated with the Zonka Feedback. Passionate about writing customer experience, customer satisfaction, customer feedback, and Net Promoter Score.

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