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.
Level of satisfaction with health care system in 4 countries between 1991 and 2007 - 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 8 · 168 words.
The line graph illustrates the percentage of individuals who expressed satisfaction with the healthcare systems in four nations—Canada, the Netherlands, the United Kingdom, and the USA—over a 16-year period from 1991 to 2007.
Overall, the Netherlands consistently maintained high satisfaction levels despite a notable decline toward the end of the timeframe. Conversely, Canada experienced dramatic fluctuations, while both the UK and the USA exhibited upward trajectories.
Beginning at approximately 57% in 1991, Canada's satisfaction rating dropped sharply to a low of around 22% in 1998, followed by a moderate recovery to roughly 32% by 2007. The Netherlands showed an initial increase from about 48% to a peak of 53% in 1998, after which figures declined moderately to finish at approximately 45%.
In terms of the remaining two countries, the United Kingdom experienced a marginal increase from roughly 27% to 30%, stabilizing during the latter half of the period. Similarly, the USA witnessed a steady climb in satisfaction from approximately 10% to 18% over the duration of the study.
Examiner feedback
This is an exceptionally strong Task 1 response that thoroughly addresses all requirements with precise data and sophisticated language. The essay features a clear overview, excellent logical organization, and a wide range of vocabulary and grammatical structures.
Task Achievement - 8
- The response covers all requirements of the task thoroughly with appropriate data selection. - Key features and trends are clearly identified and presented across all four countries. - An insightful overview highlights the main trajectories effectively.
Coherence & Cohesion - 8
- Information is logically sequenced with a clear overall progression throughout the essay. - Paragraphing is used effectively to separate the introduction, overview, and body paragraphs. - Cohesive devices are employed naturally and accurately without mechanical overuse.
Lexical Resource - 8
- A wide range of vocabulary is used accurately and flexibly to describe trends. - Good use of less common lexical items such as 'upward trajectories' and 'dramatic fluctuations'. - Excellent word choice and collocation with no noticeable errors.
Grammatical Range & Accuracy - 8
- A wide variety of complex structures is used with flexibility and accuracy. - The majority of sentences are error-free with secure punctuation control. - Advanced syntactic structures, such as participial phrases, are well managed.
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