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Wait Time Feedback Survey

Asks about appointment time, arrival to check-in wait, and check-in to exam room wait. Built for high-volume primary care practices identifying patient flow bottlenecks.

Questions
10
Page
1
Time
about 3 min
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Your practice

Wait Time Feedback Survey

Live preview. Tap through it like a patient.

Who it is for

  • High-volume primary care practices identifying patient flow bottlenecks
  • Urgent care centers optimizing throughput and reducing walk-away rates
  • Outpatient clinics evaluating the impact of scheduling template changes
  • Practice managers justifying investments in patient flow technology

What's inside

  1. Appointment TimeText
  2. Arrival to Check-In WaitMultiple Choice · 5 choices
  3. Check-In to Exam Room WaitMultiple Choice · 5 choices
  4. Exam Room to Provider WaitMultiple Choice · 5 choices
  5. Were You Informed of DelaysMultiple Choice · 3 choices
  6. Wait Time AcceptabilityMultiple Choice · 3 choices
  7. Impact on Overall ExperienceLong Text
  8. Suggestions to Reduce WaitLong Text
  9. Survey DateDate
  10. Would You Recommend Us?Multiple Choice · 3 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 Wait Time Feedback 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

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

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.

Patients open a secure link from an email, a text, or a QR code and complete the form on their phone, tablet, or computer before their appointment. No app download required.

Yes, on Front Desk. 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.

Yes. The Wait Time Feedback Survey works on any device. Most patients complete intake forms on their phone, so every template is built for small screens first.

Send it before the visit, so patients arrive ready.

Add the Wait Time Feedback Survey to your account and make it yours in a few minutes.

Cancel anytime · BAA included

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