Telemedicine Patient Satisfaction Survey
Name
Email
Date of Telemedicine Appointment
How easy was it to access the telemedicine service?
Very Easy
Easy
Neutral
Difficult
Very Difficult
How satisfied are you with the quality of care you received?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Did you feel that your concerns were addressed during your appointment?
Yes
No
How would you rate the appointment wait time?
Excellent
Good
Average
Poor
What could we do to improve your telemedicine experience?
Additional Comments