Patient feedback form template

We’ve all been presented with feedback surveys that were the opposite of inviting. With vague or convoluted questions and the robotic feel of more traditional forms, it can be easy for feedback to feel like no more than a box-ticking exercise. Time for a change.

This patient feedback form asks one question at a time and lets you follow up on ratings with deeper questions. Your patients will feel that their feedback is truly being heard, and you’ll learn a lot in the process.

It helps your patients focus on one aspect and give in-depth answers about that topic. This will help you gather less generic, and more actionable data for points of improvement.

Moreover, this format has a more human feel to it than a list or page. It feels like a real conversation, which is a great way to personalize the after care process for your patients.

Before you send out your form, there are two things you should do:

1. Set up a BAA (Business Associate Agreement) with us

Typeform is a HIPAA-compliant company, so all the healthcare-related info you process with us is legally airtight. But for you to be 100% HIPAA compliant, you’ll first need to set up a BAA. To do this you would need to talk to us about our enterprise plan, which you can do by filling out this Typeform, or contacting your Typeform account manager.

1. Check the local data collection laws

Data collection laws aren’t a one-size-fits-all thing—especially when there’s sensitive medical info involved. So before hitting share, seek advice from a local lawyer to make sure you’ve covered everything.