Patient Satisfaction Survey template

Health surveys

Measures the patient experience after a visit or treatment: overall satisfaction, how well they were informed about treatment and next steps, and willingness to recommend you. Built for clinics and hospitals that want to track quality of care from the patient's point of view.

Use this template Free · 5 questions · edit it as you like

What the template contains

These questions are ready when you open the template; you can add or remove questions, reorder them and change their wording.

  1. Overall, how satisfied were you with the care you received?
  2. Please rate the following:
  3. Were you given enough information about your treatment and next steps?
  4. How likely are you to recommend us to friends and family?
  5. Any other comments or suggestions?

How to use it

  1. Click "Use this template" and sign in with your free account.
  2. Adjust the questions and the design to your needs.
  3. Publish it and share the link, the QR code or the embed code.
  4. Watch the responses live and export them to Excel or PDF.

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