Doctor Feedback Survey Questions

Use this doctor feedback form template to collect feedback from your patients about their visit, the practitioner who handled them, and other appointment-related details.

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Understanding Doctor Feedback Form Template

This feedback form has been created to help you learn more about a patient's experience during their doctor's appointment. You can collect data around how comfortable they were with the initial booking process, to the kind of questions the practitioner had asked them. Use the data to analyze and improve patient satisfaction across the medical facility.

To create a feedback form using the doctor form template, sign up or sign in to Zonka Feedback.  You’ll be able to choose this form template when you begin creating your feedback form or survey. Customize it today and start sharing!

List of Doctor Feedback Survey Questions

The following questions are included in Doctor Feedback Survey Template:

  • Let's get started with your name?
  • What was the purpose of your visit?
  • And, did you get an appointment slot at a time that is convenient for you?
  • How easy was it for you to schedule an appointment?
  • Do you think your doctor was attentive to your health concerns?
  • Did they listen to your medical history before making a diagnosis?
  • Did the doctor give you clear instructions about dosage & medication?

Sign Up on Zonka Feedback for free and implement this Doctor Feedback Survey Template in your account to collect feedback from customers.

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What is Zonka Feedback?

Customer Feedback and Employee Feedback Survey App. Create and customize stunning surveys and feedback forms and take feedback on multiple channels - Kiosks, iPads, Android Tablets, Smartphones, Emails, SMS, Website, QR Code and more. Get real-time reports, insightful analytics, instant feedback alerts and take action to close the feedback loop.

Measure Customer Satisfaction Metrics like Net Promoter Score, Customer Effort Score & Customer Satisfaction Score with Zonka Feedback.

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