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Provider Rating Survey

Asks about provider name, visit date, and listening and attentiveness. Built for multi-provider group practices benchmarking individual clinician performance.

Questions
10
Page
1
Time
about 3 min
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Your practice

Provider Rating Survey

Live preview. Tap through it like a patient.

Who it is for

  • Multi-provider group practices benchmarking individual clinician performance
  • Medical directors building provider scorecards for quality improvement
  • Healthcare organizations supporting professional development programs
  • Credentialing committees gathering patient experience evidence

What's inside

  1. Provider NameText
  2. Visit DateDate
  3. Listening and AttentivenessMultiple Choice · 6 choices
  4. Explanation ClarityMultiple Choice · 5 choices
  5. Time Spent with PatientMultiple Choice · 6 choices
  6. Empathy and Bedside MannerMultiple Choice · 6 choices
  7. Shared Decision-MakingMultiple Choice · 6 choices
  8. Confidence in ProviderMultiple Choice · 4 choices
  9. Would Recommend ProviderMultiple Choice · 4 choices
  10. Additional FeedbackLong 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 Provider Rating 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.

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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 10 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 Provider Rating Survey for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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