Healthcare Chatbot Feedback Survey
Help us improve our healthcare chatbot by sharing your experience and suggestions.
Your Full Name
First Name
Last Name
Your Email Address
example@example.com
Age Group
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
How did you access the healthcare chatbot?
*
Mobile App
Website
Messaging Platform (e.g., WhatsApp, Facebook Messenger)
Other
What was the main reason for using the chatbot?
*
Get health information
Book an appointment
Check symptoms
Medication reminders
Other
Please rate the following aspects of your chatbot experience:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Ease of use
1
2
3
4
5
Accuracy of information
6
7
8
9
10
Response speed
11
12
13
14
15
Empathy and friendliness
16
17
18
19
20
Privacy and confidentiality
21
22
23
24
25
How satisfied are you overall with the healthcare chatbot?
*
1
2
3
4
5
Did you encounter any problems or errors while using the chatbot?
*
No issues encountered
Minor issues (did not affect experience)
Major issues (affected experience)
What features would you like to see improved or added to the chatbot?
Additional comments or suggestions
Submit Feedback
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