The graph below shows people's level of satisfaction with the health care system in 4 countries between 1991 and 2007.
Practice this IELTS Writing Task 1 question on IELTSX. The graph below shows people's level of satisfaction with the health care system in 4 countries between 1991 and 2007.
Healthcare System Satisfaction Four Countries 1991-2007 Line Graph - IELTS Writing Task 1
You should spend about 20 minutes on this task.
Summarise the information by selecting and reporting the main features, and make comparisons where relevant.
Write at least 150 words.

A student's answer to this task, and the feedback on it
Written by an IELTSX user under exam conditions and published unedited and anonymously. Band 9 · 167 words.
The line graph illustrates the proportion of citizens satisfied with their healthcare systems in four countries—Canada, the UK, the Netherlands, and the US—from 1991 to 2007.
Overall, the Netherlands maintained the highest and most consistent satisfaction levels throughout the period. In contrast, Canada experienced significant volatility, while the UK and the US saw gradual but modest improvements, despite remaining at the lower end of the scale.
In 1991, Canada had the highest satisfaction rate at approximately 58%. However, this figure plummeted sharply to just 20% by 1998, before recovering to roughly 40% by the end of the period. The Netherlands, meanwhile, showed remarkable stability, with satisfaction levels stagnating at just under 50% for the entire 16-year duration.
The UK and the US started at much lower levels of satisfaction, at roughly 22% and merely 10% respectively. Over the following years, the UK experienced a steady climb to reach 28% in 2007. Similarly, the US saw marginal growth, ending the period with a satisfaction rate of approximately 12%.
Examiner feedback
This is an exceptional response that meets all the criteria for a Band 9. It provides a clear, concise, and highly accurate description of the data with sophisticated language and perfect organization.
Task Achievement - 9
- The response fully addresses all requirements of the task, providing a comprehensive overview and detailed data points. - Key features (Canada's volatility, Netherlands' stability, and the low but rising levels in the UK/US) are expertly highlighted and illustrated. - Data selection is precise and effectively used to support the trends described.
Coherence & Cohesion - 9
- The information is logically organized, moving from a clear introduction and overview into well-structured body paragraphs. - Cohesive devices are used naturally and effortlessly (e.g., 'In contrast,' 'Meanwhile,' 'Similarly'). - The progression of ideas is smooth, with effective grouping of countries based on their trends.
Lexical Resource - 9
- A wide range of sophisticated vocabulary is used with precision (e.g., 'plummeted sharply,' 'volatility,' 'stagnating,' 'marginal growth'). - Lexical features are used naturally, with excellent control of collocation and style. - No errors in spelling or word formation are present.
Grammatical Range & Accuracy - 9
- A wide range of structures is used with full flexibility and accuracy. - Sentence structures are varied, including complex subordinate clauses and well-placed adverbial phrases. - Punctuation and grammar are flawless throughout.
Related prompts
- Male Female Students Art Related Subjects UK University 2011
- Town Centre Changes 1990 and Today
- Male Female Students High Grades Five Subjects Parston School National Average
- Qualifications Staff Advertising Company 1990 and 2010
- Australian School Leavers Activity 1980 1990 2000
- Layout Town Shopping Centre Present and Future Redevelopment