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Treatment Outcome Survey

Asks about treatment received, treatment date, and symptom improvement rating. Built for orthopedic practices tracking post-surgical functional outcomes.

Questions
12
Pages
2
Time
about 3 min
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Your practice

Treatment Outcome Survey

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Orthopedic practices tracking post-surgical functional outcomes
  • Pain management clinics measuring intervention effectiveness over time
  • Oncology programs documenting quality of life during and after treatment
  • Mental health practices assessing therapy and medication response

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What's inside

Page 1 · Your information

  1. Treatment ReceivedText
  2. Treatment DateDate
  3. Symptom Improvement RatingMultiple Choice · 5 choices
  4. Pain Level Compared to BaselineMultiple Choice · 4 choices
  5. Functional Status ChangeMultiple Choice · 4 choices

Page 2 · Additional details

  1. Side Effects ExperiencedLong Text
  2. Sleep Quality ChangeMultiple Choice · 4 choices
  3. Expectations MetMultiple Choice · 4 choices
  4. Would Choose Treatment AgainMultiple Choice · 4 choices
  5. Overall Outcome SatisfactionMultiple Choice · 6 choices

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 Treatment Outcome 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 12 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 Treatment Outcome Survey for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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