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Healthcare & Wellness

Clinic Waiting Time Survey

Measure perceived versus scheduled waits and what would make waiting easier.

4 questions · 1 page · about 1 minute to answer · fully editable after you start

Patients do not time their waits – they feel them. This short survey captures both the reported wait and how reasonable it felt, plus whether anyone communicated the delay, which changes perception more than the delay itself. A 40-minute wait with an apology and an estimate feels shorter than 20 silent minutes.

Run it for a two-week sample each quarter rather than permanently; you get a clean read on scheduling health without survey fatigue at reception.

Template preview

This is a picture of every question as a respondent would see it, so nothing on it can be clicked or typed into. Use this template to get your own editable copy.

Opens in the Light theme, or in your own default theme if you have set one — change it anytime to any of the 4 built-in looks, or build your own on a paid plan.

Page 1

Today's wait

This survey asks how long you waited at the clinic and how the wait was handled. Your answers help us improve how we run appointments. It takes about 1 minute. This form is not an emergency service. If you need urgent medical help, call your local emergency number.

Q1.Roughly how long past your appointment time did you wait?*

  • Seen on time
  • Under 15 minutes
  • 15 to under 30 minutes
  • 30 to 60 minutes
  • Over an hour

Q2.Were you told about the delay?

  • Yes, with an estimate
  • Yes, but no estimate
  • No

Q3.How reasonable did the wait feel?*

12345
UnreasonableCompletely reasonable

Q4.What would make waiting easier? (Updates, seating, scheduling...)

Respondent types their answer here…

Where this template is used

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