Abstract：Objective To investigate the employers' and employees' satisfaction of Zhejiang Province on occupation health examination and diagnosis of occupational diseases,and to guide and to standardize the occupation health examination and occupational disease diagnosis. Methods A random sample of 953 employers,1 791 workers with health examination and 135 workers with diagnosis of occupational diseases were selected in the survey,and the questionnaire about the Satisfuction on occupation health examination and occupation disease diagnosis were used in this survey. Results A total of 2 879 questionnaires were sent out,in which 2 841 valid questionnaires were returned,and the effective recovery rate was 98.68%. The recognition rates on comfortable environment,clear instructions process,workflow notification,and attention notification were all above 98%. The satisfaction rates for all items were above 86%,and the total satisfaction rate was 89.27%. The total satisfaction rates of workers with health examination,workers with diagnosis of occupational diseases and employers were 89.28%,82.03%,and 90.22%,respectively. The recognition rates on clear instructions process and attention notification,and the satisfaction rates on service attitude,result information and overall satisfaction were significantly different between different types of respondents （P<0.05）. The results of pair wise comparison showed that the satisfaction rates of workers with diseases diagnosis on service attitude,results information and overall satisfaction were significantly lower than those of employers （P<0.05）. The overall satisfaction rate of workers with diagnosis of occupational diseases was lower than that of workers with health examination （P=0.011）. The recognition rates of workers with health examination on clear instructions process and attentions notification were lower than those of employers （P<0.016）. There was a significant difference in the overall satisfaction between respondents in different regions （P<0.01）. Conclusion The service of occupational health examination and occupational disease diagnosis services should be further improved. We should better learn the demands of employees and employers,improve service attitude,optimize service processes,shorten service time,and improve service quality and satisfaction.