Hospital Performance Evaluation Survey Template

Number of pages 1 Number of questions 22 Number of times used 3.7k+

Time to complete 8 minutes(approx.)

Following a hospital visit, check in with patients on their experience in general and their satisfaction with staff members specifically.

Hospital staff spend plenty of time evaluating patients, but what about turning the tables? When patients have the chance to provide feedback on their hospital experience, their perspective can provide valuable insights on opportunities for improvement.

Invite feedback from patients with the Hospital Performance Evaluation, a simple tool designed to capture data on multiple angles of the patient experience. Beyond a quick thumbs-down or thumbs-up, ask key questions that contribute to the overall rating: Was admission quick and easy? Were non-medical staff professional and attentive? How well were any fears or concerns addressed? Were discharge instructions clear and helpful?

Patients are uniquely suited to provide critical feedback on a wide range of hospital experiences, from admissions to care to discharge, and to shed insight on their treatment by staff at every stage. Balance patient satisfaction studies with employee engagement efforts and you’ll improve the experience for everyone.


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