15+ Health Care Surveys: Questions & Sample Questionnaire Templates

List Of Health Care Survey Questionnaires

Healthcare Surveys

The healthcare survey questions with sample questionnaire templates are created through extensive collaboration between medical professionals and research experts. This makes these healthcare survey templates extensively accurate from a medical standpoint and are geared towards capturing high quality survey responses from a research perspective. You can use our templates for examples or as sample surveys if you want to create your own healthcare questionnaire. Else, use this directly in your survey by selecting any template of your choice and send them out to your patients / respondents.

Healthcare Surveys

Medical Examination Services Survey Template

21 questions

Medical Examination Services Survey Template offers questions to evaluate the desirability of medical examination features and customer attitudes of current services. This sample can be edited by the survey maker according to the required details about the medical examination. Some of the question examples of this questionnaire are "Rate the following parameters according to their importance", "How would you rate on each of the following items with your current medical service provider?" et al.

Healthcare Surveys

Healthcare Opinion Survey Template

44 questions

Healthcare Opinion Survey Template offers hospital and healthcare organization questions to evaluate quality, affordability levels, availability, and preferences of customers. This sample can be edited by the survey maker according to the required details about the healthcare opinions. Some of the question examples of this questionnaire are "Is there a difference in performance between the available hospitals in this area?", "How satisfied are you with the following factors" et al.

Healthcare Surveys

Physician Practices Survey Template

47 questions

Physician Practices Survey Template offers questions for evaluation of hospital and the services provided. This sample can be edited by the survey maker according to the required details about hospitals and their services. Some of the question examples of this questionnaire are "What is your medical specialty", "When a patient needs hospital care, who selects the hospital or other care facility?" et al.

Healthcare Surveys

Healthcare Well-Being Survey Template

27 questions

Healthcare Well-being Survey Template offers questions about the health and well-being of patients who are 55 years and older. This sample can be edited by the survey maker according to the required details about elderly patients. Some of the question examples of this questionnaire are "Overall, how would you rate the local hospitals in your area?", "What about the amount of social support you receive from your family, friends, etc?", "When you have the need to talk to someone or go on outings with friends and/or relatives, do you feel there is someone who fulfills these needs?" et al.

Healthcare Surveys

Women's Health Care Survey Template

23 questions

Women's Health Care Survey Template offers questions about preferences of a physician, physician evaluation, and service offering evaluation. This sample can be edited by the survey maker according to the required details about the women's health care. Some of the question examples of this questionnaire are "Do you personally have a private physician?", "Where is your personal physician located?", "Do you visit the same physician for most of your personal medical needs?", et al.

Healthcare Surveys

Dental Care Survey Template

13 questions

Dental Care Survey Template includes questions about the time between visits, evaluation of the visits, importance of factors in choosing a dentist, and notification preference. This sample can be edited by the survey maker according to the required details about dental care and dentists. Some of the question examples of this questionnaire are "Do you presently have a dentist that you visit on a regular basis?", "How did you find your dentist?", "The most common reason for not going to the dentist is" et al.

Healthcare Surveys

Employee Concern for Patients Survey Template

9 questions

Employee Concern for Patients Survey Template includes questions about staff tracking and areas for improvement. This sample can be edited by the survey maker according to the required details about the employee concerns for patients. Some of the question examples of this questionnaire are "In your opinion, how have patient satisfaction ratings changed at your organization over the past year?", "Does your organization have managers/staff dedicated to patient-satisfaction matters?" et al.

Healthcare Surveys

Patient Satisfaction Survey Template

9 questions

Patient Satisfaction Survey Template offers questions about the healthcare provider's concern for patient satisfaction, staff tracking, and areas for improvement. This sample can be edited by the survey maker according to the required details about the patient satisfaction. Some of the question examples of this questionnaire are "In your opinion, how have patient satisfaction ratings changed at your organization in the past year?", "How often does your organization track patient satisfaction?", "How is patient satisfaction primarily tracked?", et al.

Healthcare Surveys

Obamacare Survey Template

13 questions

Obamacare Survey Template offers questions that provide insights into the quality of healthcare services. This sample can be edited by the survey maker according to the required details about Obamacare healthcare services. Some of the question examples of this questionnaire are "Which political party are you affiliated with?", demographic questions such as "Which of the following group of race do you fit best?", "What is your family income?" et al.

Healthcare Surveys

Trumpcare Survey Template

13 questions

Trumpcare Survey Template offers questions that provide insights into the quality of healthcare services. This sample can be edited by the survey maker according to the required details about Trumpcare healthcare services. Some of the question examples of this questionnaire are "Which political party are you affiliated with?", demographic questions such as "Which of the following group of race do you fit best?", "What is your family income?" et al.

Healthcare Surveys

Sexually Transmitted Disease Survey Template

11 questions

Sexually Transmitted Disease Survey Template offers questions and examples about sexually transmitted Infections. This sample can be edited by the survey maker according to the required details about the sexually transmitted infections. Some of the examples of this questionnaire are "Have you ever been tested for an STD before?", "Are you sexually active?" et al.

Healthcare Surveys

Health Insurance Coverage Survey Template

12 questions

Health Insurance Coverage Survey Template offers questions and examples on the quality of a respondent's current healthcare provider. This sample can be edited by the survey maker according to the required details about the health insurance coverage. Some of the question examples of this questionnaire are demographical such as "What is your age?", "What is your family's annual income?" or "What is your marital status?" et al.

Healthcare Surveys

Health Insurance Satisfaction Survey Template

9 questions

Health Insurance Satisfaction Survey Template offers questions and examples on the quality of a patient's current healthcare provider. This sample can be edited by the survey maker according to the required details about the health insurance. Some of the question examples of this questionnaire are demographical such as "What is your age?", "What is your family's annual income?" or "What is your marital status?" et al.

Healthcare Surveys

Patient Satisfaction Survey Template

34 questions

Patient Satisfaction Survey Questions Template is a complete sample questionnaire that offers industry tested questions and examples for measuring patient satisfaction for hospitals, clinics, and medical institutions / individual professionals. Researchers can use this ready-made and mobile friendly sample survey to collect and automatically analyze patient satisfaction survey responses and insights in real-time. Whether you are a hospital, clinic or any other medical institution, your patients are your customers, while you also owe them a moral and professional responsibility. From an ethical and medical profession standpoint - every institution has a responsibility to its patients. From a business standpoint, your patients are your customers and patient satisfaction is critical to ensuring the success of your medical facility/institution. This sample survey questionnaire is here to help you receive precise insights into patient satisfaction. You can also use this as an example template and edit it as it fits your requirements.

Healthcare Surveys

Mental Health Survey Template

19 questions

Mental Health Survey Template designed by QuestionPro consists of questions and examples that help evaluate a person’s overall mental health. This sample survey template consists of questions that help collect information from the respondents about any family history of mental illness, previous diagnosis and other important personal details that will help the researcher understand the mental health condition. This questionnaire example consists of demographic questions, these questions can be customized and used to suit the needs of a researcher.

Healthcare Surveys

Veterinarian Survey Template

11 questions

Veterinarian Survey Template offers sample questions and examples for a veterinarian's office such as quality of care, costs, and the likelihood of visiting again. This sample can be edited by the survey maker according to the required details about the veterinary care. Some of the question examples of this questionnaire are "What is the name of your pet?", "What is the species of your pet?", " How did you learn about our hospital?" et al.

Healthcare Surveys

Sleep Deprivation Survey

16 questions

The sleep deprivation questionnaire is designed to collect feedback from a student respondent about their sleep habits and the situations in which they feel sleepy. This survey template also collects data on other parameters like GPA to understand from each student, the causes of sleepiness and collect feedback on the aspects that can be introduced to reduce the negative effects of sleep deprivation.

Healthcare Surveys

Oral Health Survey Template

32 questions

Oral health survey questions and examples can be used to obtain information about the oral health condition of the respondents, the oral health related behaviors, the factors that facilitate behaviors that are conducive to good oral health and barriers which prevent people from adopting positive behaviors. This sample survey can be customized according to the details required of the audience. A questionnaire such as this, can enable the oral health centers to understand the current oral health problems faced by the audience and appropriate decisions can be taken to promote better oral health accordingly.

Healthcare Surveys

Clinical Supervision Survey Questions

102 questions

The clinical supervision survey is created to survey doctoral internship sites such as APA, COAMFTE and other such accredited programs. This in-depth survey template was created by industry leaders that have a holistic knowledge and understanding of doctoral internship programs. This survey has multiple questions that help collect demographic information about how the supervisor and supervisee for programs like clinical psychology, counseling psychology, rehab psychology, school psychology and family & marriage therapy. You can also use these survey questions to collect in-depth feedback about the supervision methods of a supervisor and the most effective steps and methods of developing an effective clinical supervision program.

Healthcare Surveys

Primary Trauma Survey Template

13 questions

The primary trauma survey is a survey template that is used in the initial assessment and the management of a trauma patient that enters a medical facility or a hospital. This survey template is created by trauma experts and can be used by a patient to fill in identifying information that can help medical personnel identify and treat potential life threatening injuries. This survey is based on the concepts of ABCDE, that is; airways, breathing, circulation, disability and exposure. With multiple survey questions that aid medical professionals to adjudge primary trauma and the course of treatment, this survey is a must-have for every hospital and medical facility that can be tweaked towards the nature of the trauma.

Healthcare Surveys

Secondary Trauma Survey Template

14 questions

The secondary trauma survey is an in-depth survey template that is used to identify presence of other significant but not immediately life-threatening or other injuries that were missed in the primary trauma survey. This survey template involves a more thorough and in-depth head-to-toe examination to check for the presence of injuries that will aid towards the treatment process. Medical professionals can use these survey questions to fill in identifying patient information as well as use the AMPLE acronym to collect pertinent information about the trauma that the patient has suffered.