Add/Edit Question

Question Bank

Questions

Survey Preview

Order Questions
Delete question Was the hospital clean?
  1. Very clean.
  2. Clean.
  3. Somewhat clean.
  4. Dirty.
  5. Very dirty.
 ▼
Delete question When you called for your appointment, was the phone answered promptly?
  1. Yes, almost immediately.
  2. Yes, after a couple of rings.
  3. No, it rang for a while.
  4. No, I had to hang up and call again later.
  5. I didn't call for an appointment.
 ▼
Delete question How long did you have to wait to check-out with the receptionist after the visit was completed?
  1. Less than 10 minutes.
  2. 10-20 minutes.
  3. 20-30 minutes.
  4. Longer than 30 minutes.
 ▼
Delete question How long did you have to wait in the exam room to be seen by the doctor?
  1. Less than 10 minutes.
  2. 10-20 minutes.
  3. 20-30 minutes.
  4. Longer than 30 minutes.
 ▼
Delete question Were your questions answered to your satisfaction?
  1. Yes.
  2. Mostly.
  3. Somewhat.
  4. Not at all.
 ▼
Delete question Question TExt
  1. Great
  2. Good
  3. Bad
 ▼
Weight (?)
Text
Save and continue Go Back
You can assign a numerical value to your answer choices that will be averaged as a net score