Form Feedback

Patient Feedback Form Template

A form for collecting feedback from patients about their care experience.

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What's included

Free
No cost
Customizable
Full control
Responsive
All devices

About This Template

What is a Patient Feedback Form Template?

A Patient Feedback Form Template is used to gather comments and suggestions from patients regarding their healthcare experience. It helps organizations improve service quality and patient satisfaction.

Who Is This For?

This template is ideal for:

  • Hospitals and clinics
  • Healthcare providers
  • Patient experience teams

Using this template supports continuous improvement and better patient outcomes.

How to Use This Form

  1. 1 Click "Try This Template" to open it in the Optform editor.
  2. 2 Customize the questions, fields, and design to match your brand.
  3. 3 Set up conditional logic to personalize the experience for respondents.
  4. 4 Publish your form and share it via link, embed, or QR code.
  5. 5 Track responses in real-time from your Optform dashboard.

Best Practices for Feedback

  • Time your feedback requests — send them shortly after the experience.
  • Mix rating scales with open-ended questions for richer insights.
  • Keep surveys under 5 minutes to maximize completion rates.
  • Follow up on feedback to show respondents their input matters.

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