Clinic Satisfaction Survey Template

Elevate your clinic's patient satisfaction with Clinic Satisfaction Survey Template! This user-friendly survey template can help your clinic gather valuable patient feedback, making it easy to measure patient satisfaction levels and identify areas for improvement.

Try 7 days for Free
Lightening fast setup

Collect feedback from your clinic's patients to improve your clinic's experience. Gauge feedback about clinic's wait time, staff's behaviour, cleanliness, patient comfort, and more.

10 Questions

12Screens

2 mins to complete

Clinic Satisfaction Survey Template Questions

1. How easy was it to schedule an appointment with our clinic?
- Very Difficult
- Difficult
- Neither Easy Nor Difficult
- Easy
- Very Easy
2. How satisfied are you with the wait time for your appointment?
- Very Satisfied
- Dissatisfied
- Neither Satisfied Nor Dissatisfied
- Satisfied
- Very Satisfied
3. How satisfied are you with the courtesy and friendliness of our staff?
- Very Dissatisfied
- Dissatified
- Neither Satisfied Not Dissatisfied
- Satisfied
- Very Satisfied
4. Did our healthcare providers and staff listen to your concerns and answer your questions during your visit?
- Yes
- No
5. How satisfied are you with the cleanliness and appearance of our clinic?
- Very Dissatisfied
- Dissatisfied
- Neither Satisfied Not Dissatisfied
- Satisfied
- Very Satisfied
6. How satisfied are you with the communication from our healthcare providers?
- Very Dissatisfied
- Dissatisfied
- Neither Satisfied Nor Dissatisfied
- Satisfied
- Very Satisfied
7. Did you feel comfortable and well-informed during your visit to our clinic?
- Yes
- No
8. How do you feel about the overall care you received at our clinic?
9. How likely are you to recommend our clinic to your family and friends?
- 0 (Not at all likely)
- 10 (Extremely likely)
10. Do you have any additional comments or suggestions for how we can improve our clinic and the care we provide?

Create and send this Clinic Satisfaction Survey Template with Zonka Feedback