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Healthcare

Patient Visit Feedback

A respectful, simple survey about a recent appointment.

Patient feedback helps practices improve both care and the experience around it. This free survey asks about wait times, communication, and overall satisfaction after a visit.

Send it after appointments to understand how patients felt. Keep responses anonymous, customize the questions for your clinic, and export the results — all free.

Includes 6 questions

  1. I was seen within a reasonable amount of time.
    📊 Likert scale
  2. My care team listened and answered my questions.
    📊 Likert scale
  3. I understood my care plan when I left.
    📊 Likert scale
  4. How would you rate your overall visit? required
    ⭐ Star rating
  5. How likely are you to recommend our practice?
    🔘 Single choice

    Very likely · Likely · Neutral · Unlikely

  6. Is there anything we could have done better?
    📝 Paragraph (multi-line)