Patient Satisfaction Survey Template

Easily send and receive your Patient Satisfaction Survey online. Send patients your a patient satisfaction survey to gauge their experience at your practice. Patients securely submit their feedback about the treatment they received. Evaluate the overall satisfaction scores and where the quality of care is lacking to improve the patient experience.

Patient Satisfaction Survey Template

Patient Satisfaction Survey Template

Patient satisfaction allows you to accurately measure your patient’s perception of how well they’re treated. The patient satisfaction survey gives you clarity and insight to help understand the perceptions. Although the patient's feedback is subjective, satisfaction surveys can serve as a valuable indicator for assessing the overall patient experience.

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What is a Patient Satisfaction Survey?

Patient satisfaction surveys are a powerful tool for your practice. Not taking patient satisfaction into account is detrimental to the success of your business.

Many practices survey their patients without a clear understanding of why they’re collecting data and how they plan to implement improvements based on the responses they receive. It’s important to define what you’re goals are when collecting patient satisfaction surveys. There are two questions in particular that should be included to provide valuable feedback:

“Would you recommend our practice to a family member or friend?”
This question is essential to determining the feelings of satisfaction and trust in your practice. A patient’s willingness to recommend your practice to friends and family is a solid way to measure their actual satisfaction with the care they receive.

“What could we have done better?”
Concluding your patient satisfaction survey with an open-ended question allows patients to provide feedback on issues you may not have considered. The answers can offer deeper insight into patient experience and their relationship with the practice.

Why Online Patient Satisfaction Surveys?

Setup your patient satisfaction survey online and streamline your process of collecting feedback from patients.
Required HIPAA Compliant Online Form Fields
Required Form Fields

Always get the information you need with required fields. Patients can only submit patient satisfaction surveys when they complete all of your required fields. Never receive an incomplete survey again.

Required Form Fields »

HIPAA Compliant Electronic Signature
Electronic Signatures

Collect electronic patient signatures before the appointment. Easily give your patients the ability to digitally sign medical consent forms with their phone, tablet, or computer.

Electronic Signatures »

Card Photo Uploads

Have your patient take a picture of their insurance and ID cards. New patients will automatically upload a photo of their card information, so you can verify it before the appointment.

Card Photo Uploads »

Form Autocomplete

Have your patient enter information once and have it autocomplete throughout your medical consent form online. Automatically populate PHI directly into additional fields and medical consent forms.

Form Autocomplete »

HIPAA Compliant Online Form Submission
Online Form Submissions

Patients sign and submit medical consent forms securely to your online account. Review and manage completed medical consent forms before the appointment.

Online Form Submissions »

HIPAA Compliant Conditional Logic Forms
Conditional Logic Forms

Only show information that is relevant to the patient with conditional logic medical consent forms. Make it simple for your patients to complete your medical consent forms and improve the accuracy of the data you receive with conditional logic.

Conditional Logic Forms »

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Patient Satisfaction Survey Template
Patient Satisfaction Survey Template

Follow up with your patients by sending this patient satisfaction survey. Your patients are your customers and patient satisfaction is critical to ensuring the success of your practice.

Patient Satisfaction Survey Template »

Book a Free Consultation

FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who:

  • Are having patients fill out paper forms during the appointment
  • Are emailing patients a PDF or Word Doc to print out, fill out, scan, and send back
  • Are spending time manually printing and scanning paper forms

Schedule a consultation with us to learn more.