Patient Access and Engagement Feedback Survey
Share your feedback on how easy it was to access services and how well communication and engagement met your needs. Please answer based on your recent experience.
Access Experience
Overall access method used
*
Phone
Website
Patient portal
In person
Other
Ease of finding information
*
1
2
3
4
5
Ease of scheduling or requesting help
*
1
2
3
4
5
Satisfaction with wait time or response timeliness
*
Very dissatisfied
1
2
3
4
5
6
7
8
9
Very satisfied
10
1 is Very dissatisfied, 10 is Very satisfied
Engagement and Communication
Please rate the following aspects of engagement and communication
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Instructions were clear
1
2
3
4
5
Staff or team were friendly and respectful
6
7
8
9
10
Follow-up instructions were clear
11
12
13
14
15
Updates or reminders were helpful
16
17
18
19
20
Which communication channels did you use or prefer for this care experience?
Phone
SMS/Text
Email
Patient portal message
In-person
Other
Overall, how satisfied were you with the communication you received?
*
Very dissatisfied
1
2
3
4
5
6
7
8
9
Very satisfied
10
1 is Very dissatisfied, 10 is Very satisfied
Improvement Feedback
What worked well?
What could be improved?
Would you recommend this experience to others?
*
Yes
No
Not sure
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