Short anonymous interview as patients leave a facility — waiting time, respect, privacy, drug availability and out-of-pocket costs.
Patient Exit Interview is a curated field-research template designed with East African NGOs, research organisations and SMEs in mind. Use it to hear how patients actually experienced care, minutes after receiving it.
It ships with 4 sections and 12 field-tested questions — every field, the accent colour and the cover image are fully editable in the builder, and it works offline on the mobile app for enumerators in the field.
Adapt the option lists (currencies, sites, crops, programmes) to your own context before publishing.
Every question is editable below. Try it here, then save it as your project when it fits.