Is the patient satisfaction survey template free?

Yes. Every template is free to use. The free plan covers 3 forms and 100 submissions a month, with no credit card required.

What fields are included?

7 fields: Which visit is this about?, Overall, how satisfied were you with your visit?, How was your wait time?, How well did the provider listen and explain?, How courteous and helpful was the staff?, How likely are you to recommend us?, and more. You can add, rename, reorder or delete any of them.

Do I need to know how to code?

No. You edit the fields in a drag-and-drop builder and publish with one click. Embedding it on your own site is a copy-paste snippet.

Where do the responses go?

Straight to your FormMaker dashboard, where you can read them individually, search across them, or export the lot to CSV. You can also push them to Google Sheets, Slack or Zapier.

Free Patient Satisfaction Survey Template | FormMaker

Create a free online patient satisfaction survey. Rate care, wait time, communication and staff, then act on feedback. Anonymous option. No signup required.

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Category: Medical
Fields: 7
Price: Free

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About this template

A patient satisfaction survey turns the visit experience into clear signals you can act on — ratings for wait time, provider communication, staff courtesy, and likelihood to recommend, plus room for open comments. This free template is short enough to earn responses and structured enough to spot trends across visits, whether you share it by link or QR code after each appointment.

Tips for better responses

Keep it under a dozen questions — short surveys get far higher completion.
Include a recommend-us question as a single, trackable loyalty metric over time.
Leave one open comment box; the specifics there are where real improvements come from.
Offer it anonymously so patients feel free to be honest.

What's included

Your visitsection
Which visit is this about?dropdown
Overall, how satisfied were you with your visit?dropdown
How was your wait time?dropdown
How well did the provider listen and explain?dropdown
How courteous and helpful was the staff?dropdown
How likely are you to recommend us?dropdown
What could we do better?editor

Frequently asked questions

Is the patient satisfaction survey template free?: Yes. Every template is free to use. The free plan covers 3 forms and 100 submissions a month, with no credit card required.
What fields are included?: 7 fields: Which visit is this about?, Overall, how satisfied were you with your visit?, How was your wait time?, How well did the provider listen and explain?, How courteous and helpful was the staff?, How likely are you to recommend us?, and more. You can add, rename, reorder or delete any of them.
Do I need to know how to code?: No. You edit the fields in a drag-and-drop builder and publish with one click. Embedding it on your own site is a copy-paste snippet.
Where do the responses go?: Straight to your FormMaker dashboard, where you can read them individually, search across them, or export the lot to CSV. You can also push them to Google Sheets, Slack or Zapier.

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