Organizational Concern Survey Template

Health Care survey of organizational concern for patient satisfaction.


 
 
How have patient satisfaction ratings changed at your organization in the past year?
 
Improved considerably
 
Improved somewhat
 
Has remained about the same
 
Has declined somewhat
 
Has declined considerably
 
Don't know
 
 
How important is patient satisfaction within your organization?
 
It's a high priority
 
It's a mid-level priority
 
It's a low priority
 
Don't know
 
 
Does your organization have managers/staff dedicated to patient satisfaction matters?
 
Yes
 
No
 
Don't know
 
 
How often does your organization conduct surveys to evaluate
patient satisfaction?
 
Daily basis for each patient
 
Monthly or more often
 
Quarterly
 
Semiannually
 
Yearly or less often
 
Never
 
 
Which one of the following means is used to evaluate patient satisfaction?
 
Questionnaires sent through the mail (in-house efforts)
 
Follow-up telephone calls (in-house efforts)
 
An outside firm has been hired to track patient satisfaction
 
Suggestion boxes placed in facilities
 
Other
 
 
Has your organization initiated programs to improve patient satisfaction within the past year?
 
Yes
 
No
 
Don't know
 
 
In your opinion, what sector of the healthcare industry needs the most improvement in patient satisfaction?
 
Hospitals
 
Physicians
 
Managed-care plans
 
Insurers
 
Nursing homes
 
Outpatient providers
 
Other
 
 
What is the most compelling reason for your organization to improve customer satisfaction?
 
Fear of losing patients to competitors
 
Fear of losing employer contracts
 
Fear of increase regulation
 
Fear of damage to organization's reputation
 
Other
 
 
In your opinion, has patient satisfaction been shown to have a direct effect on your organization's bottom line?
 
Yes
 
No
 
Don't know

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