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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
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| What sector of the health care industry do you believe needs the most improvement in patient satisfaction? |
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| What is the most compelling reason for your organization to improve customer satisfaction? |
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| In your opinion, has patient satisfaction been shown to have a direct effect on your organization's bottom line? |
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| About how long did you have to wait before speaking to a representative? |
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About how long did it take to get this problem resolved?
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| In your opinion, how important is patient satisfaction within your organization? |
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| Does your organization have managers/staff dedicated to patient-satisfaction matters? |
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| Which one of the following means is used to evaluate patient satisfaction? |
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| What sector of the health care industry do you believe needs the most improvement in patient satisfaction? |
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| What is the most compelling reason for your organization to improve customer satisfaction? |
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| The process for getting your concerns resolved was: |
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| Would you please take a few minutes to describe what happened? | | |
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Customer Service Representative
The following questions pertain to the customer service representative you spoke with most recently. Please indicate whether you agree or disagree with the following statements
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| Are there any other comments about the customer service representative you would like to add? | | |
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The Process
The following questions pertain to the process by which your most recent service contract was handled. Please indicate whether you agree or disagree with the following statements.
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| Overall, how would you rate [COMPANY]? |
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| How satisfied are you with your service from [COMPANY]? |
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| Please tell us how we could improve the quality of support we provide to you or your organization: | | |
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| [COMPANY] understands the service needs of my organization. |
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| Overall, how satisfied are you with the amount of contact between you/your organization and [COMPANY]? |
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