Survei Kesehatan

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.