Participant Satisfaction Survey – WebMD Version

Health Screening Satisfaction Survey

Please tell us about your health screening experience by completing the survey below. Individual responses are kept confidential.
1. Overall health screening experience.*
Very Satisfied Satisfied Neither Satisfied nor Dissatisfied Dissatisfied Very Dissatisfied
2. Professionalism of the screening staff.*
Very Satisfied Satisfied Neither Satisfied nor Dissatisfied Dissatisfied Very Dissatisfied
3. Knowledge of the screening staff.*
Very Satisfied Satisfied Neither Satisfied nor Dissatisfied Dissatisfied Very Dissatisfied
4. Explanation and consultation you received on your screening values.*
Very Satisfied Satisfied Neither Satisfied nor Dissatisfied Dissatisfied Very Dissatisfied
5. Experience scheduling your screening appointment.*
Very Satisfied Satisfied Neither Satisfied nor Dissatisfied Dissatisfied Very Dissatisfied
6. Was the total amount of time allowed for your screening appointment too much, about right, or not enough?*
Too Much About Right Not Enough
7. In the future would you recommend this type of health screening to others?*
Definitely Probably Maybe Probably Not Definitely Not
Thank you for your valuable time and input.
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Location
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Event Date
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Event ID
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Contractor Initials
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Participant Name
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Company Name
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Submission Type

Health Screening Satisfaction Survey