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Patient Satisfaction Survey

OptionOption

Healthcare

Patient Satisfaction Survey

Patient Satisfaction Survey template with ready-made questions — customize, publish and start collecting responses in minutes.

8 fields Ready to publish

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What's included

1
Type of visit
In person · Telehealth · Emergency · Follow-up
RequiredDropdown
2
Rate the care you received
RequiredRating
3
Rate wait time
RequiredRating
4
Staff explained things clearly
Strongly agree · Agree · Neutral · Disagree · Strongly disagree
RequiredDropdown
5
Would you recommend this practice?
Yes · No · Not sure
RequiredDropdown
6
Comments
Long text
7
Name (optional)
Short text
8
Email (optional)
Email

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