Service delivery is one of the pillars identified by WHO 2007 that requires strengthening in health systems.Patient Satisfaction with health care services is of great importance as one way of evaluating service delivery. The methods used may vary depending on the context, patient profile and types of services delivered as perceived by the patient. The patients experiences may yet be influenced by their previous experiences with health care. This needs to be factored in while still incorporating the patients view as a consumer of health services. Many factors need to be taken into consideration when constructing patient satisfaction questionnaires to allow for inclusion of key factors.Cultural sensitivity is one and needs to be addressed.