Patient Survey (PREM)

Anonymous assessment of your patients' care experience based on Patient-Reported Experience Measures (PREM).

Start for free Try the template live

The live demo opens the real questionnaire — no signup required.

Patient Survey (PREM) – questionnaire preview

Patient-Reported Experience Measures (PREM) capture how patients experience the care process – for example whether they were informed clearly, treated with respect and involved in decisions. Unlike satisfaction questions, PREM focus on concrete, observable aspects of care and thus provide actionable insights for quality management in practices and clinics.

When should you use this template?

This template is a great fit for:

  • To measure care experience as part of quality management
  • After an inpatient stay or an outpatient treatment
  • As a complementary measure alongside clinical outcome indicators

Every question in this template

  1. 1

    To what extent do the following statements apply to your treatment?

    Please think about your most recent course of treatment with us.

    Matrix
    Strongly disagreeDisagreeNeutralAgreeStrongly agree
    I was involved in decisions.
    I was informed in an understandable way.
    I was treated with respect.
    My pain was taken seriously.
    I was well prepared for discharge.
  2. 2

    How would you rate your overall care experience? *

    Single choice
    • Very poor
    • Poor
    • Average
    • Good
    • Very good
  3. 3

    What would have made your care experience even better?

    Long text

Go deeper

Related survey templates

Browse all survey templates →

Frequently asked questions

What are PREMs?
Patient-Reported Experience Measures capture how patients experience the process of their care – such as information, respect and involvement. They describe the process, not the medical outcome.
How do PREMs differ from a satisfaction survey?
Satisfaction questions capture a general feeling, whereas PREMs capture concrete, observable experiences. This makes it easier to derive specific improvement measures.
Is the survey anonymous and GDPR-compliant?
Yes. No personal data is collected. Only analyse the results in sufficiently large groups to preserve anonymity.

Start with this template

Load the template into DataLion, adapt it to your brand and start collecting responses — GDPR-compliant, in minutes.

Start for free Try the template live