Clinics & healthcare · 4 questions
Clinic patient experience survey template
Measure satisfaction after each visit. Free to use: sign up, choose the clinics & healthcare starter, and this form is ready to edit and send.
Clinic patient experience survey
How likely are you to recommend us to a friend or family member? *
How easy was it to book?
How well did we explain your care?
What could we improve?
Type your answer…
The questions
- 1. How likely are you to recommend us to a friend or family member?0–10 scale
- 2. How easy was it to book?Star rating
- 3. How well did we explain your care?Star rating
- 4. What could we improve?Long answer
Add, remove or reword any question, add logic to skip the ones that don’t apply, and put your own logo and colours on it. Send it as a link, a QR code or an email.
What happens to the answers
Every reply is read as it arrives, alongside your reviews and other forms.
Topics, without tagging
Each reply is filed under the things it mentions, in a topic tree you can rename, merge or split.
Tone on every mention
A review that praises the room and complains about check-in counts as both, each with its own tone.
What changed
A briefing compares each topic's share of the conversation and its tone with the period before.
Ask in plain words
Ask a question and get an answer from your own replies, with the ones it relied on shown.
Automations that come with it
The clinics & healthcare starter also sets up these follow-ups as drafts, ready to switch on.
Appointment preparation
Confirm the booking, send intake ahead of time and a reminder the day before.
Post-visit follow-up
Check in after a visit and ask how it went.
More clinic templates
Further reading
Analysis ·
Customer feedback sentiment analysis: what it tells you
What sentiment analysis of customer feedback can and can't tell you, why tone belongs on each mention rather than each review, and how to pair it with topics.
6 min read
Reviews ·
How to respond to negative reviews (with examples)
A simple structure for replying to negative reviews, good and bad example replies, when to take it offline, and how to turn recurring complaints into fixes.
6 min read
Follow-up ·
How to close the feedback loop with customers
Close the feedback loop twice: reply to each customer, then fix the cause and tell people. Includes follow-up rules to automate and how to check a fix worked.
6 min read
Send your clinic patient experience survey today.
The free plan covers three forms, one feedback source and 500 responses a month. No card needed.