Patient Feedback Forms

Patient feedback is important to ensure you’re taking good care of your patients. Whether you work at a doctor’s office, dentist’s office, or other healthcare provider, Jotform’s free Patient Feedback Forms can help you collect feedback seamlessly from any device — great for telemedicine or in-person services! Start by selecting a free template below and customizing it with our drag-and-drop builder. Then embed the form in your website or share it to patients with a link, and view responses in your secure Jotform account.

Feel free to make changes to your chosen Patient Feedback Form template. Drag and drop to add or update questions, upload your logo, or change the form design. All responses are protected with a 256-bit SSL connection and a HIPAA compliance option for healthcare professionals. Once you’ve gathered feedback, you can view it as a spreadsheet or cards in Jotform Tables — or even generate reports in Jotform Report Builder! Switch from paper forms to online forms to collect data fast with free online Patient Feedback Surveys.