Patient Satisfaction Survey
Asks about overall experience, quality of care, and wait time. Built for primary care and family medicine practices tracking patient experience.
- Questions
- 6
- Page
- 1
- Time
- about 2 min
Your practice
Live preview. Tap through it like a patient.
Who it is for
- Primary care and family medicine practices tracking patient experience
- Specialty clinics benchmarking against CAHPS quality standards
- Multi-provider groups comparing satisfaction across providers
- Healthcare organizations preparing for accreditation reviews
What's inside
- Overall experienceMultiple Choice · 5 choices
- Quality of careMultiple Choice · 5 choices
- Wait timeMultiple Choice · 5 choices
- Friendliness of staffMultiple Choice · 5 choices
- Comments or suggestionsLong Text
- Would you recommend our clinic to others?Multiple Choice · 2 choices
From form to a ready patient

01
Make it yours
Reword, reorder, or add to the Patient Satisfaction Survey, and add your logo.

02
Patients finish it at home
A secure link by text or email, filled out on their phone before the visit. No app.

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
All templatesNew Patient Onboarding Feedback SurveySurvey · 12 questions
Staff Satisfaction SurveySurvey · 12 questions
Appointment Feedback SurveySurvey · 10 questions
Referral Feedback SurveySurvey · 10 questions
Annual Wellness Check-In SurveySurvey · 14 questions
Caregiver Burnout Assessment SurveySurvey · 13 questions
Questions
Send it before the visit, so patients arrive ready.
Add the Patient Satisfaction Survey to your account and make it yours in a few minutes.
Cancel anytime · BAA included