Patient Satisfaction Survey Form 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 Form 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.

Setup your patient satisfaction survey

Start saving time and money with FormDr

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.

More Online Medical Forms

Streamline your medical forms online. Automate your paperwork. Start saving time and money.
Medical Intake Form Template

Medical Intake Form

Easily have patients complete your medical intake forms online. Completed medical intake forms are submitted securely to your account, before the patient's appointment.
COVID-19 Screening Form Template

COVID-19 Screening Form

Send patients COVID-19 screening forms to fill out on their phone, tablet, or computer. Safely screen patients for COVID-19 by enabling them to fill out forms on their own device.
phq9-teen-form-template

PHQ-9 Modified for Teens

Give your teen patients the freedom to complete the PHQ-9 from any device, anywhere. Ensure privacy and help keep teens safe by ensuring completion of this screening form before their clinic visit.
grief-evaluation-form-template

Grief Evaluation for Children & Teenagers (17 and Under)

Collect valuable information concerning your patient’s grief experience and daily life. Review this information prior to the appointment to guide the conversation.
aims-form-template-icon

AIMS (Abnormal Involuntary Movement Scale)

Setup an AIMS Form for free. Allow your clinicians to complete an Abnormal Involuntary Movement Scale Form safely and securely, online.
adhd-self-report-form-template

Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist

Give patients the freedom to complete the adult ADHD self-report checklist at the most comfortable an convenient time, with a phone, tablet, or computer. Information is submitted securely and is ready for your review before the appointment.

Advance Beneficiary Notice of Noncoverage

Easily keep your patients informed, while fulfilling Medicare requirements by sending this form when you suspect an item may not be covered under Medicare. Keeping your patients informed empowers them with the information to make the best health and financial decisions.
Medical Release Form Template

Medical Release Form

Turn your paper medical history forms into HIPAA compliant online forms. Streamline your forms by removing the paperwork. Collect a more accurate medical history from your patients.

Setup your patient satisfaction survey

Start saving time and money with FormDr

Discover More Features

Setup HIPAA compliant online forms. Streamline your process of collecting information from patients.
Centralized Inbox

Centralized Inbox

Streamline communication with a Centralized Inbox, bringing all patient messages, form submissions, appointment requests, and follow-ups into one organized platform. Improve efficiency and responsiveness by managing all conversations in a single, easy-to-use hub.

Resend HIPAA Compliant Forms

Resend HIPAA Compliant Forms

Resend completed patient intake forms. Patients will simply update what has changed, and leave the rest of the form completed.

HIPAA Compliant Two-Way Texting

Improve engagement and efficiency with real-time, HIPAA-compliant messaging. FormDr’s secure messaging platform enables real-time communication between healthcare providers and patients.

Form Analytics

Form Analytics

Analyze data, improve patient responses, learn from patient behavior and raise your conversion rate. FormDr is the only tool you require to understand the needs of your patients.

Book a Free Consultation

Schedule a consultation with us to learn more

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