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Healthcare Expenses Survey Template

The Healthcare Expenses Survey Template helps you gather real insights into patients’ experiences with healthcare expenses. The survey helps understand various healthcare expense challenges like insufficient funds. 

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Understanding Healthcare Expenses Survey Template

With Zonka Feedback’s Healthcare Expenses Survey Template, you can better understand how people spend on healthcare expenses. Also, how much they pay expenses including deductibles, copays, and insurance premiums.

To create a survey using the Healthcare Expenses Survey template, just sign up on Zonka Feedback for a free trial. 

How to Use Healthcare Expenses Survey Template?

Mobile/Tablet/Kiosk: On-facility feedback can be collected using mobile, tablet, and kiosk stations. Patients and visitors can share feedback in areas like the waiting room, reception, cafeteria, etc.

QR Code Survey: Hospital facility feedback can be collected through QR code surveys that visitors can take by simply scanning the QR code on their phones and visiting the link.

Email and SMS: You can send out email and SMS surveys to your patients after consultations and hospital visits. 

List of Healthcare Expenses Survey Questions

The following questions are included in this Healthcare Expenses Survey Template:

  • Who pays for your health insurance? (Check all that apply)
  • In a typical month, how much do you spend on health insurance premiums, deductibles, copays, and co-insurance fees in US dollars?
  • Has a lack of funds prevented you from seeing a doctor in the last year?

Sign Up on Zonka Feedback for free and implement this Healthcare Expenses Survey in your account to measure Customer healthcare expenses.


What to include in a healthcare expense survey?

  • Health insurance-related question
  • Premiums, deductibles, copays, and co-insurance fees-related question
  • Question for feedback on healthcare affordability

Create and send this Healthcare Expenses Survey Template

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