Healthcare Surveys

33 Templates

COVID 19 Vaccine Survey

Get to know how people feel about the new COVID-19 vaccine with a custom online survey. Easy to personalize, embed, and share. Option for HIPAA friendly features.

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Patient Health Questionnaire PHQ9

A Patient Health Questionnaire (PHQ9) is a form template designed to allow hospitals to collect comprehensive information from patients for the purpose of diagnosing and assessing their health.

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Health Survey

A Health Survey is a form template designed to collect medical information from patients and log their anamnesis

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Mental Health Survey

Conduct mental health assessments with this free survey template for businesses, schools, and more. Easy to customize and fill from any device. No coding.

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Patient Health Questionnaire And Generalized Anxiety Disorder Questionnaire

A free Patient Health Questionnaire and Generalized Anxiety Disorder questionnaire is an excellent tool for getting everything you need in one convenient place! Accessible through any mobilde device. Fully customizable.

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Insomnia Questionnaire

An Insomnia Questionnaire is a questionnaire used by healthcare providers to assess the quality of their patients’ sleep. Whether you’re a doctor or work at a sleep clinic, an Insomnia Questionnaire template.

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Healthcare Employee Satisfaction Survey

A healthcare employee satisfaction survey is a questionnaire used by managers to take the pulse of the workplace. Easy to use. No coding.

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Wellness Survey

A wellness survey form is a questionnaire used by wellness clinics, health care providers, and health insurers to collect patient health data. Improve the wellness and overall health with Jotform.

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Patient History Questionnaire

Need a patient history questionnaire? Use this Patient History Questionnaire form template for free here in Jotform!

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Health Product Satisfaction Survey

Compile valuable feedbacks and suggestions about the health product by using this Health Product Satisfaction Survey. This survey contains all necessary questions in gathering essential data from the users.

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Mental Health Quiz

A Mental Health Quiz is a tool designed to assess and screen for potential mental health concerns, providing individuals with a preliminary self-evaluation of their mental well-being.

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Am I Healthy Quiz

Am I Healthy Quiz is a user-friendly form template designed to provide individuals with a quick and easy way to evaluate their health.

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Complementary Alternative Therapy (CAM) Use Survey

A complementary alternative therapy (CAM) use survey is a questionnaire used by medical professionals to track the use of alternative therapies. Use Jotform to collect survey results easily!

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Health Appraisal Questionnaire

A Health Appraisal Questionnaire is a survey designed to collect information about an individual's health status, lifestyle, and medical history.

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Diabetes Foot Exam Form

A diabetes foot exam form is used by medical personnel to collect information about the health condition of the patient.

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Police Medical Questionnaire

A Police Medical Questionnaire is a form template designed to assess the physical and mental health of individuals applying for positions within law enforcement agencies.

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Donor Survey

A Donor Survey is a valuable form template designed to gather insights from donors, volunteers, and members of nonprofit organizations, charities, and fundraising campaigns.

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Dementia Research Consent Form

A Dementia Research Consent Form is a form template designed to inform participants about the nature of a study or clinical trial related to dementia research.

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Referring Clinician Survey

A referring clinician survey is a questionnaire used by medical services to gather contact info for new patients.

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Influenza Questionnaire

An Influenza Questionnaire is a form template designed to collect information about influenza symptoms, potential exposure, and related factors.

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COVID 19 Customer Consent Form

A COVID-19 customer consent form is a document collected by medical organizations to ensure that customers understand the risks of COVID-19 and that they are willing to help the organization.

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Mpox Exposure Risk Assessment Form

An Mpox (formerly Monkeypox) Exposure Risk Assessment Form is a form template designed to gather information about an individual's potential exposure to Mpox, a contagious virus.

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Mpox Post Vaccination Survey

A Mpox Post-Vaccination Survey is a form template designed to help public health authorities and healthcare providers collect information about the post-vaccine effects.

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About Healthcare Surveys

Healthcare surveys are specialized questionnaires designed to collect valuable information from patients, healthcare professionals, and other stakeholders within the medical field. These surveys can be used for a variety of purposes, such as assessing patient satisfaction, gathering feedback on healthcare services, monitoring public health trends, evaluating treatment outcomes, and conducting research studies. Healthcare organizations, clinics, hospitals, and research institutions rely on these surveys to improve patient care, streamline operations, and ensure compliance with industry standards.

With Jotform, creating and managing healthcare surveys becomes a seamless process. Jotform’s intuitive, no-code Form Builder allows users to quickly design custom surveys tailored to their specific needs, whether it’s a simple patient feedback form or a comprehensive health assessment. Users can leverage a wide range of templates, drag-and-drop elements, and integrations with secure payment gateways or data management tools. Automatic data storage, real-time notifications, and advanced filtering features help healthcare providers efficiently organize and analyze responses, making Jotform an essential tool for modern healthcare data collection and workflow optimization.

Use Cases of Healthcare Surveys

Healthcare surveys serve a broad spectrum of needs within the medical and wellness sectors. Their versatility allows them to address various challenges and support different stakeholders. Here’s how they can be utilized:

1. Possible Use Cases:

  • Patient satisfaction surveys to evaluate the quality of care and identify areas for improvement.
  • Pre-appointment health questionnaires to gather medical history and symptoms before visits.
  • Employee wellness surveys to monitor staff well-being and workplace satisfaction.
  • Public health surveys to track community health trends or outbreak responses.
  • Post-treatment follow-up surveys to assess recovery and treatment effectiveness.
  • Research data collection for clinical studies or academic projects.

2. Problem Solving Points:

  • Streamlining data collection and reducing paperwork.
  • Enhancing patient engagement and communication.
  • Identifying gaps in service delivery or patient care.
  • Supporting compliance with healthcare regulations and quality standards.
  • Facilitating evidence-based decision-making.

3. Possible Owners and Users:

  • Hospitals, clinics, and private practices.
  • Public health agencies and government organizations.
  • Medical researchers and academic institutions.
  • Healthcare administrators and HR departments.

4. Differences of Creation Methods:

  • Patient satisfaction surveys may focus on rating scales and open-ended feedback fields.
  • Pre-appointment forms require detailed medical history, symptom checklists, and consent fields.
  • Employee wellness surveys might include anonymous response options and mental health assessments.
  • Research surveys often need demographic fields, consent forms, and data export capabilities.

In summary, healthcare surveys can be tailored to fit a wide range of objectives, with content and structure varying based on the intended audience and purpose.

How to Create a Healthcare Survey

Designing an effective healthcare survey with Jotform is straightforward, whether you’re collecting patient feedback, conducting research, or monitoring staff wellness. Here’s a step-by-step guide to help you create a healthcare survey that meets your specific needs:

1. Define Your Survey Objective:

  • Identify the primary goal of your survey (e.g., patient satisfaction, pre-appointment screening, research data collection).
  • Determine your target audience (patients, staff, community members, etc.).

2. Choose a Starting Point:

  • Log in to your Jotform account and click “Create” on your My Workspace page.
  • Select “Form” and decide whether to start from scratch or use one of Jotform’s 10,000+ healthcare survey templates.
  • Pick a layout: Classic Form (all questions on one page) or Card Form (one question per page).

3. Add and Customize Form Elements:

  • Use the drag-and-drop Form Builder to add relevant fields:
  • Basic fields: Name, Email, Date of Birth, etc.
  • Health-specific fields: Multiple choice for symptoms, rating scales for satisfaction, long text for open feedback.
  • Consent and privacy acknowledgment checkboxes.
  • File upload fields for medical documents or images, if needed.
  • For research or public health surveys, include demographic questions and consent forms.

4. Personalize the Survey Design:

  • Click the Paint Roller icon to open the Form Designer.
  • Adjust colors, fonts, and themes to match your organization’s branding.
  • Add your logo and customize the form URL for a professional touch.

5. Set Up Notifications and Data Management:

  • Configure email notifications to alert staff of new submissions.
  • Set up autoresponder emails to confirm receipt to respondents.
  • Enable advanced search and filtering in Jotform Tables for efficient data analysis.

6. Ensure Privacy and Compliance:

  • Include privacy statements and obtain necessary consents.
  • Use Jotform’s security features to protect sensitive health information.

7. Publish and Share Your Survey:

  • Click “Publish” and copy the survey link to share via email, SMS, or social media.
  • Embed the survey on your website or patient portal for easy access.

8. Test and Monitor Responses:

  • Preview the survey and submit a test entry to ensure everything works as intended.
  • Monitor submissions in real time and use Jotform’s analytics tools to review results.

By following these steps, you can create a healthcare survey that is both user-friendly and compliant with industry standards, helping you gather actionable insights and improve healthcare outcomes.

Frequently Asked Questions

1. What is a healthcare survey?

A healthcare survey is a structured questionnaire used to collect information from patients, healthcare professionals, or the public about health-related topics, experiences, or outcomes.

2. Why are healthcare surveys important?

They provide valuable feedback that helps healthcare providers improve patient care, monitor service quality, and make informed decisions based on real-world data.

3. What information is typically collected in a healthcare survey?

Common data includes patient satisfaction ratings, medical history, symptoms, treatment feedback, demographic details, and consent for data use.

4. Are there different types of healthcare surveys?

Yes, types include patient satisfaction surveys, pre-appointment questionnaires, employee wellness surveys, public health assessments, and research data collection forms.

5. Who can use healthcare surveys?

Hospitals, clinics, private practices, public health agencies, researchers, and healthcare administrators can all benefit from using healthcare surveys.

6. How is privacy maintained in healthcare surveys?

Surveys should include privacy statements and consent fields, and data should be stored securely in compliance with regulations like HIPAA or GDPR.

7. Can healthcare surveys be anonymous?

Yes, surveys can be designed to collect anonymous responses, especially for sensitive topics like employee wellness or patient feedback.

8. What are the benefits of using online healthcare surveys?

Online surveys streamline data collection, reduce paperwork, enable real-time analysis, and make it easier to reach a wider audience efficiently.