Patient Satisfaction Survey Template

About this template

Generating and keeping loyal patients is a priority for any hospitals, clinics or other medical institutions. One way to keep them happy and loyal is by asking for their feedback. Feedback is necessary as this will allow the hospital to work on areas that needs improvement and keep up the good points. Having a ready-made Patience Satisfaction Survey Template will make it more easy for the staff to gather feedback from patients.

Jotform offers free Patient Satisfaction Survey Template that you can download, print and hand over to your patients. This is a questionnaire sample which has basic questions to evaluate the performance of the staff. Feel free to modify this template, add or remove details based on your liking.

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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.