Clinic Visit Survey Form Templates

FormTitan for Surveys

FormTitan for Clinic Visit Survey is a ready-to-use template which can be used for multiple medical clinic purposes. If the form is good for you as-is, simply select and publish. Within less than a minute it's yours, up and running!

What can I do with the Clinic Visit Survey template?
Conducting patient's survey is a great practice. Regardless of the size or type of your clinic, your patients’ feedback is important to you. Such survey can help in getting better insight into what your patients experience when visiting your clinic. It can help you with identifying pain-points and in improving your processes.

Do I need to make any changes to the template?
You can use the template as is, or add and remove elements as you find necessary.
E.g. add or remove questions or or modify the rating system. If you want to capture text for open ended questions, simply add a text box at the bottom of the form. Feel free to use the form with other themes out of our list, or make your own layout changes, add your colors, logo, etc.

How do i add advanced features to the template?
You can add functionality tailored to your needs to any element within the form.

For example, if some items are relevant only for patients in a specific department, you can capture the department name and then based on the answer use logic to hide items from patients for whom the questions are not relevant.
In addition you can easily add a bi directional Salesforce integration that will allow you to read data from Salesforce as well as write data in Salesforce.

How do i get the submitted data?
By default you will be getting all submissions directly to your mailbox. You can easily customize these emails from within our form builder. Furthermore, you can use our built-in integrations to push your data into other services of your choice. E.g. you can collect all your evaluations in a document or spreadsheet within your google drive.

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