Free Patient Feedback Software
Jotform’s patient feedback software is a HIPAA-friendly tool for creating custom online feedback forms to gather responses from patients on any device. Use this patient feedback software to securely collect and manage patient feedback, analyze insights, and improve the quality of care.
Templates
Free Patient Feedback Form Templates
Not sure where to start? Select a patient feedback form or survey template below and customize it with our drag-and-drop builder.
Patient Feedback Form
Medical Questionnaire
COVID-19 Vaccine Survey
Benefits
Instantly Create Feedback Forms
Create Online Surveys
Build healthcare surveys that include the exact questions needed for patient feedback, because the form can be customized question by question. Add a logo and adjust design elements in the Form Builder, so the survey looks consistent across web and mobile devices.
Receive Notifications Instantly
Get alerted as soon as a submission arrives with email notifications, so the team can react quickly to new feedback. Use the Jotform Mobile app to receive push notifications on iOS or Android, so staff can monitor incoming feedback away from a desk.
Expertly Manage Submissions
Review and organize submissions in Jotform Tables, so feedback can be managed like a spreadsheet or a card view. Respond to patient feedback from Jotform Inbox when a direct reply is needed, so follow-ups stay connected to the original submission.
Set Up Kiosk Mode
Collect multiple submissions on-site using kiosk mode on a tablet or phone, so patients can submit feedback in person. Share a contactless QR code that opens the form on a patient’s own device, so clinics can offer an option that avoids shared screens.
Analyze Data Reports
Turn feedback submissions into reports with Jotform Report Builder, so results can be reviewed without manually exporting and formatting data. Use the report views to spot patterns in what patients like and what needs improvement, so changes are based on collected responses.
Testimonials