Patient Satisfaction Survey
The COA Patient Satisfaction Surveys allow practices to collect data on non-clinical variables like wait time, provider responsiveness, patient satisfaction, and effectiveness of communication.
Two versions of the srvey are available: a 40-question version that has seen nearly 200,000 responses to date, and a new, condensed version with 15 questions. Both versions provide comprehensive, quality information on the patient experience. To ensure that as much patient data is collected as possible, they are available in five languages, can be taken on paper or online, and allow practices to benchmark their performance against national averages, others in their geographical area, practices of similar size, and within their own care teams.
All questions in the COA Patient Satisfaction Surveys are based upon Consumer Assessment of Healthcare Providers and Systems (CAHPS) – Clinical Group questions and guidelines. CAHPS is a subsidiary of the Agency for Healthcare Research and Quality.
For ease of access, files containing the Patient Satisfaction Survey for manual completion have been placed below. Each language below is available within the digital version of the survey as well.
Satisfaction Survey Scoring Guide
Satisfaction Survey Tally Form
Short Patient Satisfaction Survey – English
Chinese Patient Satisfaction Survey
Russian Patient Satisfaction Survey
Korean Patient Satisfaction Survey
Spanish Patient Satisfaction Survey
English Patient Satisfaction Survey
Patient Reported Outcome Measures Oncology (PROMOnc) Survey
The Patient Reported Outcome Measures Oncology (PROMOnc) Survey collects patient information before and after completing their cancer treatment, oral or IV, to promote attention to key areas for the patients and to improve care processes.
The PROMOnc Survey was developed in conjunction with the Purchaser Business Group on Health and quantifies patient outcomes like pain, fatigue, and quality of life. The survey aligns with care goals currently defined in the Enhancing Oncology Model.
To use the model, cancer care teams gather patient information before treatment begins and 90 days after treatment is completed. The survey focuses on the patients’ pain, fatigue and quality of life. Reporting can be filtered by care team, cancer diagnosis, and treatment regimen.
Due to data collection requirements, use of the PROMOnc Survey requires an agreement with COA. Please contact us at email@example.com to begin using this survey or click the button below.