Patient satisfaction survey

Multi-step layout

This survey is divided into different steps to make form-filling easier for the respondent. The steps in this template are:

1. Welcome page: Short intro page with organization logo and name
2. Patient Info: Collect personal patient information, and reason for visit. You can remove this section to make the survey anonymous for better HIPAA compliance.
3. Quality of Care: Rating questions to understand treatment effectiveness, communication, wait times, and overall satisfaction.
4. Staff and Service: Questions to understand the professionalism and communication skills of staff.
5. Facility and environment: Allow patient to rate the facility in terms of cleanliness, navigation, parking, cafeteria, etc ...
6. Overall: Questions to rate overall satisfaction, and leave open-ended feedback
7. Disclaimer: A page to show organization disclaimers, and how the survey data is handled.

Use cases

You can modify the fields in this template and easily adapt it for other use cases, such as:

1. General Practise:

   For collecting feedback immediately after a routine doctor's visit.

2. Inpatient Stay:

   To assess patient satisfaction during a hospital stay.

3. Telehealth:

   Gathering insights on virtual consultation experiences.

Timeseries NPS report

Formcrafts has powerful built-in tools for analyzing responses. Our NPS analysis can help you track the NPS score over a period of time and spot trends.

Form engagement and drop-off analysis

Engagement analysis helps healthcare providers see where patients spend the most time and where they drop off on this patient satisfaction survey.

With this data, they can adjust the form to be more user-friendly and ensure they collect the necessary feedback, improving patient experience and service quality.

Common questions

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