Online Survey Example

The SurveyShare online tool has constructed a big collection of web survey templates in practically every category, including Medical Related Questions This allows you to produce a web-based questionnaire and get real information from doctors, patients, and staff. These are some of SurveyShare's Medical questionnaire examples. They are not suitable for a medical screening questionnaire, but you could use our hosted survey services to conduct a medical screening survey.

Templates include suggested questions on a given topic. The templates have not been tested for validity and reliability. They are presented as design samples only. The questions are provided as possible examples of the type of questions you might want to include, without warranty for reliability or validity.

Web Survey Templates - Medical - Physician and Patient:

Hospital Services
Physician survey of hospital services provided to them for the care of their patients.

Insurance
Physician questionnaire regarding impact of insurance determinations on physicians course of treatment.

Medical Laboratory Services
Physician survey of services offered through medical lab includes items on testing, courier services, turn-around times, and more.

Medical - Physician and Patient

Medical Web Use Template
Physician questionnaire of web usage by themselves and their patients for medical related questions.

Emergency Room Visit
Satisfaction survey of ER services that includes questions about waiting time, cleanliness of facilities, and treatment by staff.

In-Patient Hospital Services
Patient survey of in-patient hospital care that includes items about registration, nursing staff, and doctor care.

Hospital Services Out-Patient
Patient questionnaire about out-patient care. This questionnaire includes questions about registration, cleanliness of facilities, and quality of care.

Medical Laboratory Satisfaction Template
Patient satisfaction survey of laboratory services which includes billing, specimen collection, and staff.

Medical Web Use Survey for Patients
Patient questionnaire of web usage for medical related questions. This web-based questionnaire includes items on self-diagnosis and communication with physician.

Office Clinic Template
Patient satisfaction survey of physicians office. This template includes questions about staff and doctor satisfaction and waiting times.

Access to Health Care Questionnaire
Health care questionnaire examines health care usage, location of services, and insurance coverage. You can pull items from all these medical templates to create a questionnaire that meets your survey needs.

Customer Satisfaction Survey Questions
Charity Oriented Questionnaires