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Patient feedback form template

Optimize your medical organization with our comprehensive patient feedback collection form. Our free template is available for instant use. It is especially useful for hospitals, private practices, clinics, and treatment centers.

Improve the patient experience by collecting critical information:

Evaluate staff courtesy and communication skills.
Identify strengths such as short wait times or friendly receptionists.
Pinpoint areas for improvement, such as outdated facilities.
Gather suggestions for new services, extended hours, or amenities.
Foster trust and stronger patient-provider relationships.

Use This Template

This patient feedback form is available for free and you can use it in Google Forms

Easy to use

Google Forms greatly simplifies data collection by replacing paper forms, messaging, and phone orders. You may easily collect applications as well as view and analyze the results in one place (in the IOS app or on the website). And all that without any coding or other technical details.

Customization Options

You can effortlessly choose the color, font and header image to customize your form. This flexibility ensures that the form reflects your brand style, increasing customer attraction and engagement through a design that is tailored to your customer's preferences.

Easy to share

Send a form link via email, social media, or any other online platform. QR codes allow for quick access or to be printed. Also, the form is easily embedded into any website, maximizing accessibility.

Security

Google Forms provides security because all forms are stored in your Google Account. All data is protected by advanced encryption and complies with strict data protection requirements. In addition, you can customize permission controls for each form individually.

How do I create a patient feedback form on mobile?

The best option for IOS phones and tablets (iPhone or iPad) is the mobile app. Detailed instructions are below. To create a Google Form using this template on your Android phone, you can use the official website and desktop instructions.

Download the app from the App Store.
Log in to your Google account.
Swipe to the right on the most popular templates block and click "Show All".
Select the suitable template and tap on it.
Customize one to suit your needs.
Share your new form and collect responses.
Get instant notifications on your iPhone or iPad when new responses are posted. And also view and analyze all responses right on your phone.

In addition, you can easily create any forms and quizzes in the app, also quickly view and analyze the answers. Download the app and enjoy the easy-to-use Google Forms experience.

How do I create a patient feedback form on desktop?

Go to the Google Forms website and sign in using your Google account.
Then, go to our site and find the template that suits your needs.
Read a brief description of the template.
Click on the preview button to check out its questions and layout.
If you like this template, click on the "Use this template" button.
Customize it based on your taste. You may edit the form header, add or delete questions, change question types, and customize the form settings and layout.
Once you are satisfied with your form, you can share it with respondents.
Client responses will be shown on the responses tab or the Google Sheets associated with this form.

Use This Template

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