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Hospital Performance Evaluation Survey Template

Get feedback about your hospital’s doctors, staff, and room-comfort to improve how your hospital functions.

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NOTE: If the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) applies to you and your intended use of SurveyMonkey, this template is NOT intended for your use without 1) a SurveyMonkey ‘HIPAA-enabled’ account, and 2) a business associate agreement with us, which can be purchased by contacting our sales team. Please see our Acceptable Uses Policy for more information.

If running a hospital and managing hospital staff is part of your job description, send this hospital performance evaluation survey to patients who have stayed at your hospital. Our expert-certified survey asks a range of questions dedicated to various aspects of a hospital stay. Get firsthand feedback about your hospital’s doctors, staff, and room comfort-level.

Improve how your hospital functions and is staffed when you survey patients about their experience at your hospital. Learn if the patients felt it was easy to talk to the staff about their medical condition, if the staff was responsive to their questions, and if the rooms were clean and quiet. See where there are gaps or areas that need improvement by sending patients this survey—you can even customize it if you want to include questions specific to your hospital.

To create a survey using the Hospital Performance Evaluation survey template, just sign up or sign in to SurveyMonkey. You’ll be able to choose the template when you begin creating a survey.

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