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Healthcare patient satisfaction survey

Well-designed patient satisfaction survey template to collect feedback from patients on their experience with medical care, staff, and facility. Includes ratings, NPS, and open-ended feedback for improvement.

  • Professional design
  • Multi-step layout
21 fields
6 steps
Welcome step of 'Healthcare patient satisfaction survey' with an image, introduction text, and a 'Start' button
The alphabet 'A' on a white background showing the design, color scheme, and font usage for 'Healthcare patient satisfaction survey' form
  • Light theme
  • Quicksand and Helvetica
  • White background

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. Patient Info

  2. Quality of Care

  3. Staff and Service

  4. Facility and environment

  5. Overall

  6. Feedback

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.

Timeseries chart showing the NPS distribution, calculated NPS for each month, and a trend line for the field 'How likely are you to recommend our facility to a family or friend?'
Timeseries NPS analysis

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.

Engagement analysis for 'Healthcare patient satisfaction survey' showing the time spent on each form step, and the drop-off rate
Step engagement and drop-off analysis

Common questions

Can I customize the fields in this template?

Yes, you can easily customize the fields in this survey template. You can add, remove, or modify any field to better suit your specific needs. The customization options are user-friendly and do not require any advanced technical skills.

Is the template responsive?

Absolutely! This template is designed to be fully responsive. Whether the form is accessed on a desktop, tablet, or mobile device, it will adjust to fit the screen size and ensure a smooth user experience.

Can I received the survey responses in my inbox?

Yes, you can create an "Email" workflow to send the survey responses to one or more people. You can even send thank-you emails to your survey participants.

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Template created on Feb 19, 2024 2:36 PM and last updated on Jul 10, 2024 9:49 PM