Patient Experience Surveys

Asking patients to provide feedback about their encounter with your healthcare office practice is an important way to measure patient satisfaction and uncover any concerns you might need to address.

We offer four versions of the survey:

Patient Experience Survey (English)

Patient Experience Survey (Spanish)

Patient Experience Survey: Dental (English)

Patient Experience Survey: Dental (Spanish)

For additional assistance, contact the Department of Patient Safety and Risk Management at (800) 421-2368 or by email.


The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.

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