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Net Promoter Score (NPS) Survey

Asks about likelihood to recommend (0-10), primary reason for score, and how long a patient. Built for healthcare organizations tracking a single loyalty metric over time.

Questions
9
Page
1
Time
about 2 min
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Your practice

Net Promoter Score (NPS) Survey

Live preview. Tap through it like a patient.

Who it is for

  • Healthcare organizations tracking a single loyalty metric over time
  • Multi-location practices comparing NPS across sites and departments
  • Marketing teams identifying promoters for testimonials and referrals
  • Operations leaders detecting detractor trends before patient churn

What's inside

  1. Likelihood to Recommend (0-10)Multiple Choice · 11 choices
  2. Primary Reason for ScoreLong Text
  3. How Long a PatientMultiple Choice · 4 choices
  4. What We Do WellLong Text
  5. What We Could ImproveLong Text
  6. Contact PermissionMultiple Choice · 2 choices
  7. Survey DateDate
  8. Provider SeenText
  9. Additional CommentsLong Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Net Promoter Score (NPS) Survey, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

Related templates

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Questions

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 9 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Net Promoter Score (NPS) Survey for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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