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.
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.
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.
Telehealth Consent Form Template

Telehealth Consent Form

Collect telehealth consent forms online. Send your clients telehealth forms, give clients the ability to sign HIPAA compliant online forms with any device, anywhere.
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.
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.
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.

Edinburgh Postnatal Depression Scale Form

Use this standardized screening checklist to identify postpartum depression symptoms and determine the severity of illness.
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.

Setup your patient satisfaction survey

Start saving time and money with FormDr

Discover More Form Features

Setup HIPAA compliant online forms. Streamline your process of collecting information from patients.
Text Message Form Invites

Text Message Invitations

Send a text message invitation to your patients to complete your forms. Give patients the freedom to sign and complete forms with any device, anywhere.

Custom Thank You Page

Custom Thank You Page

Create your own custom ‘Thank You’ page to direct patients to upon completion of your forms. Forward them along to the next steps of your intake process.

HIPAA Compliant Submission Audit Logs

Submission Audit Logs

Form submissions have a detailed history that can always be referenced. Audit logs cannot be changed and the history from all users is tracked.

Export to PDF

Export Form Submissions to PDF

Quickly export complete patient forms to a PDF file. Save completed forms as a PDF to quickly attach patient records.

Start a Free 30 Day Trial

Get started today with a template, or we can build your forms for you.

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