Healthcare Surveys
Get to know your patients with free online Healthcare Surveys from Jotform. Once you choose a template below to use as-is or customize to your liking, you can share or embed it in seconds to start collecting responses on any device. All form data is securely stored in one centralized account, easy to access by your team when needed.
Customize the design by adding your practice’s logo and colors, update survey questions, and automatically send submissions to 100+ other platforms — all without coding! You can also upgrade to enable HIPAA compliance and keep patient data protected. Switch from messy paper surveys to powerful online Healthcare Surveys that can be filled out on any smartphone, tablet, or computer.
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.
Healthcare Forms
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.
Healthcare Forms
Health Survey
A Health Survey is a form template designed to collect medical information from patients and log their anamnesis
Healthcare Forms
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.
Healthcare Forms
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.
Healthcare Forms
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.
Healthcare Forms
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.
Healthcare Forms
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.
Healthcare Forms
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.
Satisfaction Surveys
Patient History Questionnaire
Need a patient history questionnaire? Use this Patient History Questionnaire form template for free here in Jotform!
Healthcare Forms
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.
Healthcare Forms
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!
Healthcare Forms
Health Appraisal Questionnaire
A Health Appraisal Questionnaire is a survey designed to collect information about an individual's health status, lifestyle, and medical history.
Healthcare Forms
Diabetes Foot Exam Form
A diabetes foot exam form is used by medical personnel to collect information about the health condition of the patient.
Healthcare Surveys
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.
Healthcare Forms
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.
Healthcare Surveys
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.
Charity Forms
Referring Clinician Survey
A referring clinician survey is a questionnaire used by medical services to gather contact info for new patients.
Healthcare Forms
Influenza Questionnaire
An Influenza Questionnaire is a form template designed to collect information about influenza symptoms, potential exposure, and related factors.
Healthcare Forms
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.
Healthcare Surveys
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.
Coronavirus Response Forms
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.
Healthcare Forms
Mpox Survey
An Mpox (formerly Monkeypox) Survey is a form template designed to collect data on various aspects of Mpox, such as public awareness, risk factors, symptoms, healthcare access, and the effectiveness of prevention and control measures.
Healthcare Forms