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.

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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.

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Emailing new patient intake forms risks the interception of PHI. FormDr is HIPAA compliant, all patient data is encrypted in transit and rest. A Business Associate Agreement is included with your account.

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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
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