30 Health Survey Questions for Health Assessment & Patient Feedback (2023)

Over the past few years, our patients have seen a massive hike in health treatment & medical expenses. As a result, they are now more aware of the quality of care & treatment and actively using those healthcare services that yield them maximum patient satisfaction.

With the growing importance of health assessment, patients are more concerned about how their healthcare needs will be addressed by the healthcare system. Health Assessment plays a crucial role in identifying and evaluating the specific needs or health status of an individual or of a large number of population. Healthcare organizations usually do a health assessment by conducting a physical exam through health assessment survey questions or assessing patient health state via a remote patient monitoring solution.

This practice enables them to quickly identify the gaps in patient care and fill it to keep their patients happy and satisfied. When it comes to interacting with your patients or taking their feedback, a well-designed Patient Feedback Software provides you with a good mix of Health Survey Questions for health assessment and patient feedback.

What are the Health Survey Questions?

Health Survey Questions or questionnaires comprise a set of questions that enables you to collect Patient Feedback and Patient Data based on their care and treatment experience using patient self service kiosk. Patient Surveys and Questionnaires comprises evaluation-based questions that enable the hospitals to capture data and to understand the overall health of the patients and other risk factors that lead to a decline in patient satisfaction.

Asking the right questions at the right time can help you to acquire valuable patient-powered data.

30 Health Survey Questions for Health Assessment & Patient Feedback

Introductory Questions

1. How healthy do you consider yourself on a scale of 1 to 10?

2. How often do you get a health checkup?

  • Once in 3 months
  • Once in 6 months
  • Once a year
  • Only when needed
  • Never get it done
  • Other

3. What do you say about your overall health?

  • Having Good Physical Health
  • Moderately physically impaired
  • Severely physically impaired
  • Totally physically impaired

Health Assessment Survey Questions

4. Do you have any chronic diseases?

  • Yes
  • No

5. Do you have any hereditary conditions/diseases?

  • High blood pressure
  • Diabetes
  • Hemophilia
  • Thalassemia
  • Huntington
  • Other (Please specify)

6. Are you habitual to drugs and alcohol?

  • Yes to both
  • Only to drugs
  • Only to alcohol
  • I am not habituated to either

7. Over the past 2 weeks, how often have you felt nervous, anxious, or on edge?

  • Not all
  • Several days
  • More days than not
  • Nearly every day

8. Over the past 2 weeks, how often have you felt down, depressed, or hopeless?

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  • Not all
  • Several days
  • More days than not
  • Nearly every day

9. Over the past 2 weeks, how often have you felt little interest or pleasure in doing things?

  • Not all
  • Several days
  • More days than not
  • Nearly every day

10. How would you describe the condition of your mouth and teeth, including false teeth or dentures?

  • Excellent
  • Good
  • Average
  • Poor

11. How often do you have trouble taking medicines the way you have been told to take them?

  • I do not have to take medicine
  • I always take them as prescribed
  • Sometimes I take them as prescribed
  • I seldom take them as prescribed

12. On how many of the last 7 days did you engage in moderate to strenuous exercise (like a brisk walk)?

  • 0 Day
  • 1 Day
  • 2 Days
  • 3 Days
  • 4 Days
  • 5 Days
  • 6 Days
  • 7 Days

13. In general, would you say your health is:

Hospital Related Questions

14. How would you rate the diagnosis process that you experienced?

  • Excellent
  • Above average
  • Average
  • Below average
  • Very poor

15. What is the difference in the care provided by the hospitals available in your area?

16. Overall, how do you rate us as compared to other local hospitals in your area?

  • Excellent
  • Above average
  • Average
  • Below average
  • Very poor

Primary Care Providers Related Questions

17. Is your primary health care physician able to conduct a swift diagnosis and prescribe medication?

Secondary Care Providers Related Questions

18. Did the pharmacy staff collect the right deductible from you for your medicines?

19. How would you rate our ambulance service?

  • Excellent
  • Good
  • Average
  • Poor

30 Health Survey Questions for Health Assessment & Patient Feedback (7)

Health Insurance Related Questions

20. Please state your level of agreement to the statement: Health insurance is affordable to you.

21. Has any of your family members been dropped out of coverage after a diagnosis of any illness?

General Questions

22. How easy was it to schedule an appointment at our facility?

23. How long did you wait beyond your appointment time to be seen by a provider?

24. How well do you feel the provider listened to your health concerns?

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25. Please rate how thorough you feel the provider’s instructions for care were

26. How well do you feel the provider answered your questions?

27. How was our pharmacy staff?

28. How satisfied are you with the cleanliness of our facility?

29. How would you rate the overall care you received from your provider?

30. How likely are you to recommend our facility to your friends and family?

What to Consider While Designing a Health Survey Questionnaire?

While designing a health survey questionnaire besides adding the right questions there are some other crucial factors that are responsible for driving a higher number of responses.

1. Survey Goals - Before designing your questionnaire or choosing survey questions, always keep your survey goals in your mind. Determine what answers you intend to derive from your patients. A well-defined survey goal leads to better planning and good planning will help you to position your survey in a better way to collect valuable and actionable patient feedback.

2. Respondents - Identifying your target audience will not help you to streamline your health survey but also provides you with a great understanding of choosing valuable questions. Always keep the respondent’s place, age, maturity and cognition in mind while designing health surveys for your patients. If you’re using Excel or Google Sheets, use drop-down lists to segment your respondents.

For example, a thorough study about your targeted patients (respondents), their cultural or educational background would help you to create accurate questions that are easy to understand and respond to. Say if the question is difficult, there you can provide them with memory aids in the form of options, radio buttons, or just health awareness as a newsletter.

3. Duration - Usually, respondents are likely to abandon the long and time-consuming surveys. Besides survey questions, survey duration is also a game-changer, when it comes to driving quality responses. So, always keep your patient feedback survey form or health survey form simple and crisp.

How Zonka Feedback Contributes to Make Your Health Survey a Great Success

Zonka Feedback provides you with the automated feedback system that not only captures inpatient & outpatient feedback on iPad, Android Tablets, through the website, email, and SMS but also enables you to analyze, manage and close the feedback loop in a jiffy.

Apart from capturing, analyzing, and managing patient feedback, there are other various exciting features that can make Zonka Feedback your ultimate feedback partner:

  1. 30+ Types of Survey Questions - Zonka Feedback offers you to choose from over 30+ survey questions to create health surveys. Choose Zonka Feedback to capture the CAST of patients, Net Promoter Score, Customer Effort Score, comments and much more.
  2. Pre-built Survey Templates - Zonka Feedback has a lot of expert Patient Feedback Form & Healthcare Survey templates that can be used right out-of-the-box or can be customized to your needs.
  3. White-Labeled Surveys - Zonka Feedback offers you complete control over the look and feel of your survey form. Here you get everything to white-label your surveys and represent your brand while patients give you feedback and fill out surveys.
  4. Skip Logic & Branching - Skip Logic & Branching feature enables you to direct respondents through different paths (page or questions) in a survey based on their experience. You can skip or hide a few screens of the survey based on respondents’ answers. For example, If the customer had a bad screen, they could continue to the next screen where you ask them questions about how you can improve. Whereas for customers who had a good experience you can skip the screen.
  5. Real-Time Feedback Report & Analysis - With Zonka Feedback’s real-time reporting & analysis feature, you can monitor every feedback and get an in-depth analysis of all responses. Take action on negative patient feedback to swiftly resolve issues and improve the patient experience.
  6. Close Patient Feedback Loop - Zonka Feedback enables you to track real-time patients’ responses and immediately notify you about the negative patient feedback. This helps you to quickly act on the negative feedback and address the concern to improve the patient experience.

A well-structured Patient Survey Tool packed with the above features cannot only contribute to enhancing the level of the care and treatment but also helps you to procure and retain patients.

Learn more about the Patient Feedback

  • 3 Killer Strategies to get Patient Feedback

  • Importance of Measuring Patient Satisfaction

  • 5 Ways to use SMS Surveys for Patient Feedback

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  • Patient Satisfaction Survey Questions You Need to Ask to Improve the Patient Experience

  • How to Measure Patient Satisfaction Using Patient Surveys?

Published on Mar 18, 2020. Updated on Oct 11, 2022.


What is the health status questionnaire? ›

The Health Status Questionnaire 2.0, or HSQ, is a method for measuring health attributes, health status change, and risk of depression. Eight sub-scales are used as the structure of the test.

How do you collect feedback from patients? ›

However, the process of learning from feedback should be a regular (even daily) process in every GP's development.
  1. Consider online tools to collect patient feedback. ...
  2. Learn from both complaints and compliments. ...
  3. Record informal feedback as it can still be valuable. ...
  4. Get honest and constructive feedback from colleagues.
11 Sept 2020

How do you write a patient satisfaction survey? ›

It's simple, as long as you follow these key steps.
  1. Step 1: Identify what you want to know. ...
  2. Step 2: Create your survey. ...
  3. Step 3: Choose a platform to launch your survey. ...
  4. Step 4: Evaluate the results. ...
  5. Step 5: Make Changes.
9 Mar 2015

What are the 5 types of survey questions? ›

Guide to the Five Types of Survey Questions
  • Open-Ended Questions.
  • Multiple Choice Questions.
  • Ordinal Scale Questions.
  • Interval Scale Questions.
  • Ratio Scale Questions.
12 Jun 2022

What are the 6 health assessments? ›

“Asking them for an annual health assessment which will review what is recommended by your age and medical history.”
  • Colorectal screening. ...
  • Mental health screening. ...
  • STDs and STIs. ...
  • Skin cancer screening. ...
  • Blood pressure. ...
  • Eye exams.
27 Feb 2019

What are the 5 health assessments? ›

The components of a physical exam include:
  • Inspection. Your examiner will look at, or "inspect" specific areas of your body for normal color, shape and consistency. ...
  • Palpation. ...
  • Percussion. ...
  • Auscultation. ...
  • The Neurologic Examination:

What are examples of health status? ›

Examples include functional health, disability days, activity limitation, health expectancy, disability free life expectancy.

What is the best way to capture feedback? ›

By the end of this post, you'll have all the information you need to answer it.
  1. Customer feedback surveys. ...
  2. Email and customer contact forms. ...
  3. Usability tests. ...
  4. Exploratory customer interviews. ...
  5. Social media. ...
  6. On-site activity (via analytics) ...
  7. Instant feedback from your website.
9 Jun 2022

What makes a patient satisfied? ›

Patient satisfaction is about making the patient feel safe and cared for during the hospital stay, the organization contended, signaling why nurse communication is of such high value.

What is the most important factor affecting patient satisfaction? ›

Some researchers believed that age and illness are important factors affecting patient satisfaction, and elderly patients tended to be satisfied with the medical process, while severe patients tended to be dissatisfied with the medical process.

How do you measure patient experience? ›

What Methods Are Used to Measure Patient Experience? Surveys are one of the most common ways to measure patient experience. Other methods include conducting patient focus groups and interviews.

What are some open-ended questions to ask a patient? ›

Here are 5 open-ended questions which may add depth to conversations with patients:
  • What health concerns do you have? ...
  • What are you most worried could be wrong? ...
  • What's life been like for you during the pandemic? ...
  • How did you and your partner meet? ...
  • Can you tell me more?
2 Dec 2020

What are the 7 components of a patient interview? ›

The RESPECT model, which is widely used to promote physicians' awareness of their own cultural biases and to develop physicians' rapport with patients from different cultural backgrounds, includes seven core elements: 1) rapport, 2) empathy, 3) support, 4) partnership, 5) explanations, 6) cultural competence, and 7) ...

What are some close ended questions to ask a patient? ›

Examples of closed questions are: “How many times did you throw-‐up?” • “What time did you give the Tylenol?” • “Have you been seen for this problem before?” • “Are you having chest pain right now?” concerns do you have today?”

What are the 7 types of surveys? ›

9 Types of Survey Methods and How They Work
  • Online Survey Method.
  • Face-to-Face Surveys.
  • Focus Groups.
  • Panel Sampling.
  • Phone Survey.
  • Mail Surveys.
  • Kiosk Surveys.
  • Paper Surveys.
25 Aug 2022

What are the 4 common examples of survey types? ›

Types of surveys
  • Online surveys: One of the most popular types is an online survey. ...
  • Paper surveys: As the name suggests, this survey uses the traditional paper and pencil approach. ...
  • Telephonic Surveys: Researchers conduct these over telephones. ...
  • One-to-One interviews:

What are the 7 areas of health? ›

Wellness is commonly viewed as having seven dimensions: mental, physical, social, financial, spiritual, environmental, and vocational.

What are the four 4 stages of health assessment? ›

Whether you are performing a comprehensive assessment or a focused assessment, you will use at least one of the following four basic techniques during your physical exam: inspection, auscultation, percussion, and palpation.

What are the 5 key health indicators? ›

Health Indicators
  • Crude death rate.
  • Life expectancy.
  • Infant mortality rate.
  • Maternal mortality rate.
  • Crude birth rate.

What are the 4 principles of health assessment? ›

These principles are autonomy, beneficence, non-maleficence, and justice. Each of these principles has a unique objective, but the four come together to empower you as a health care professional and ensure that patients are receiving high quality and ethical health care.

What are the four techniques used for patient assessment? ›

WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation. Use them in sequence—unless you're performing an abdominal assessment.

What are the 3 components of health assessment? ›

What are the 3 components of Health Assessment? 1) Health History (subjective data). 2) Physical Examination (objective data). 3) Documentation of findings.

What are 2 examples of good health? ›

Regular exercise, balanced nutrition, and adequate rest all contribute to good health. People receive medical treatment to maintain the balance, when necessary. Physical well-being involves pursuing a healthful lifestyle to decrease the risk of disease.

What are the 8 types of health? ›

Eight Dimensions
  • Physical Wellness.
  • Emotional Wellness.
  • Social Wellness.
  • Intellectual Wellness.
  • Environmental Wellness.
  • Spiritual Wellness.
  • Vocational Wellness.
  • Financial Wellness.

How do you motivate patients to improve their health? ›

Here are five strategies to motivate patients.
  1. Encourage patients to own their health. Physicians should emphasize good health comes from a patient's actions, not from a physician.
  2. Be on the same team. ...
  3. Don't overwhelm patients. ...
  4. Always follow-up with patients. ...
  5. Explain healthy behavior is for the patient, not you.
30 Mar 2016

How can you improve patient quality and care? ›

Best practices for taking better care of patients
  1. Show respect. ...
  2. Express gratitude. ...
  3. Enable access to care. ...
  4. Involve patients' family members and friends. ...
  5. Coordinate patient care with other providers. ...
  6. Provide emotional support. ...
  7. Engage patients in their care plan. ...
  8. Address your patients' physical needs.
6 Mar 2020

How can you improve patient experience and outcomes? ›

10 Tips for Improved Patient Experience
  1. Say hello. Acknowledge the patient by name.
  2. Introduce yourself and your role.
  3. Apologize for their wait if necessary.
  4. Start the conversation with something non-medical.
  5. Acknowledge their concerns. See the encounter through the eyes of the patient.

What are the 4 keys to good feedback? ›

Feedback has four steps: Reception -> Recognition -> Acceptance -> Motivation. Be patient and treat each step as a stage-gate. Ensure the receiver is receptive to receiving feedback. That they truly recognise what you describe.

Which feedback is most effective? ›

Impact feedback is the most effective type of feedback to start with because it informs a person about the results of their behavior without dissecting the details, assuming motivation, or placing blame.

What are the 3 types of feedback? ›

The three forms of feedback: appreciation, coaching and evaluation.

What are the 6 types of feedback? ›

  • 1 Intrinsic feedback. Intrinsic information is associated with the feel of the movement as it is being performed. ...
  • 2 Extrinsic feedback. ...
  • 3 Positive feedback. ...
  • 4 Negative feedback. ...
  • 5 Knowledge of results. ...
  • 6 Knowledge of performance.

What are the 3 C's of feedback? ›

Let's summarize the three C's of feedback: make sure your feedback is constructive (specific and offers suggestion for improvement), compassionate, and consistent, make sure you're in a good place when you deliver feedback, and make sure you remain professional when skaters act a fool when they receive (or refuse to ...

What is a good example of positive feedback? ›

Positive feedback you can give

"I'm really happy with your determination to finish this project. I know it wasn't easy, but I knew you could do it. Your helpful attitude makes it clear that you can continue to take on new challenges and grow with the company. Thank you for your extra effort."

What are the qualities of a good patient? ›

Characteristics of a good patient include obedience, patience, politeness, listening, enthusiasm for treatment, intelligence, physical cleanliness, honesty, gratitude and lifestyle adaptations (taking pills correctly and coming to the clinic when told).

What creates a positive patient experience? ›

As an integral component of healthcare quality, patient experience includes several aspects of healthcare delivery that patients value highly when they seek and receive care, such as getting timely appointments, easy access to information, and good communication with health care providers.

What factors affect patients quality of care? ›

Five factors that affect patient satisfaction
  • Expectations. Take a moment at the start of the visit to ask patients what they want from the visit. ...
  • Communication. Communicate in a more positive manner. ...
  • Control. Relinquish some control over the visit, and practice shared decision making. ...
  • Time spent. ...
  • Appearance.
8 Jun 2018

What causes poor patient satisfaction? ›

Across all contact types, unacceptable waiting time (organizational factor) and poor general self-perceived health (patient factor) were the only factors associated with dissatisfaction.

What tools can be used to promote patient satisfaction? ›

Top 5 Practice Management Tools for a Good Patient Experience
  • Online appointment scheduling. The patient portal has emerged as a major tool used to promote patient engagement. ...
  • Curbside, virtual waiting rooms. ...
  • Check-in kiosks. ...
  • Real-time patient experience surveys. ...
  • Price transparency tools.
17 Mar 2021

Which 4 factors contribute to quality of care? ›

To understand why, we have to realize that health includes more than just health care.
  • The Social and Economic Environment.
  • Health Behavior.
  • Clinical Care.
  • The Physical Environment.
18 Jul 2018

What are examples of patient care experience? ›

Examples of DPC include taking vitals, bathing patients, helping patients transfer from bed to bedpan or toilet, walking patients, drawing blood, performing diagnostics, administering prescribed therapy or treatments, counseling.

How do you evaluate patient outcomes? ›

Five Steps of the Evidence-based Process
  1. Ask a clinical question.
  2. Obtain the best research literature.
  3. Critically appraise the evidence.
  4. Integrate the evidence with clinical expertise, patient preferences.
  5. Evaluate the outcomes of the decision.

How would you describe your health care experience? ›

Healthcare Experience: “Both paid and unpaid work in a health or health-related field where you are not directly responsible for a patient's care, but may still have patient interaction; for example, filling prescriptions, performing clerical work, delivering patient food, cleaning patients and/or their rooms, ...

What is the patient health questionnaire used for? ›

The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day).

What is the general health questionnaire used for? ›

The General Health Questionnaire (GHQ) is a self-administered screening tool designed to detect current mental disturbances and disorders.

What is the purpose of the health medical questionnaire? ›

A health history questionnaire consists of a set of survey questions that help either medical researcher, doctors or medical professional, hospitals or small clinics to understand the population they provide medical services to.

What is the NHS health questionnaire? ›

It can tell you whether you're at higher risk of getting certain health problems, such as heart disease, diabetes, kidney disease, stroke and dementia. As it appears on your passport. As it appears on your passport. The one used to register with your GP.

What are the types of health surveys? ›

Two major types of surveys are used to gather health statistics: population surveys and provider surveys. Below are selected surveys that the National Center for Health Statistics and other agencies provide. The National Health Interview Survey is an example of an interview-based population survey.

Why are surveys important to patients? ›

By providing insight into their patients' perceptions, patient satisfaction surveys have informed decision makers efforts to build meaningful patient/provider relationships, establish effective and constructive communication, and develop care journeys that are grounded in empathy and compassion.

How do you conduct a health survey? ›

This can only be possible with good planning and the use of effective strategies while conducting the survey.
5 Effective Ways to Plan and Conduct a Medical Survey
  1. Have clear objectives. ...
  2. Be creative with the questionnaire. ...
  3. Leverage an online platform. ...
  4. Hire help. ...
  5. Seek expert advice.
17 Sept 2021

How do you score a General Health Questionnaire 28? ›

Accordingly, the chronic scoring method attributes a score of 0 to the first item (better than usual) and a score of 1 to the third and fourth items, as per the traditional scoring method. The second item ('same as usual') receives a score of 0 for negative items and a score of 1 for positive items.

What does GHQ 30 measure? ›

The GHQ measures common mental health problems/domains of depression, anxiety, somatic symptoms and social withdrawal.

How do you score a general health questionnaire? ›

We adopted the four-point Likert scale, with each item ranging from 0 to 3. For negatively worded items, '0' indicated Not at all, '1' indicated Seldom, '2' indicated Usual and '3' indicated More than usual, while positively worded items were reversely scored.

What are the examples of questionnaire? ›

Some examples of a questionnaire are:
  • Customer Satisfaction Questionnaire: This type of research can be used in any situation where there's an interaction between a customer and an organization. ...
  • Product Use Satisfaction: You can use this template to better understand your product's usage trends and similar products.

Why is health assessment so important? ›

Health assessments are usually structured screening and assessment tools used in primary care practices to help the health care team and patient develop a plan of care. Health assessment information can also help the health care team understand the needs of its overall population of patients.

How do I answer NHS questions? ›

Be precise and truthful in your answer. If you have had experience, explain the NHS system that you have worked with and the procedures that you have followed. Talk about the 'out-of-hospital' care strategies that the NHS makes you offer and the awareness it gives people over their own health in patient care.


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