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.
Telemedicine Consent Form Template

Telemedicine Consent Form

Easily have patients complete your HIPAA compliant telemedicine consent form with their phone, tablet, or computer. Make it easy for patients to complete your consent forms online.
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.
cancellation-policy-

Cancellation Policy

Collect signed acknowledgements of the clinic cancellation policy online before the appointment. Informed patients provide better communication, which in turn reduces your clinic no-shows and late cancellations.
no-surprises-act-form-template-icon

No Surprises Act Template

Send your patients your practices No Surprises Act notice, quickly and easily 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.
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.
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.
Patient Satisfcation Survey Template

Patient Satisfaction Survey

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.

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.
Automated Bulk Export

SFTP Automated Bulk Export

Generate a bulk export of patient submissions that will be saved as a CSV Excel file. Select your frequency, time of day to export, and which forms you would like to export submissions from.

Autocomplete HIPAA Compliant Forms

Autocomplete Forms

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

Drawing and Diagrams

Drawing and Diagrams

Allow your patients to draw on an image or diagram in your form to mark areas of pain or parts of the body that may need treatment.

Mobile Friendly Forms

Mobile-Friendly Forms

Easily build fully-responsive medical forms online that allow your patients to sign and submit on any device, anywhere, at any time.

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