Free Patient Feedback Software
Get the feedback you need to provide better care for your patients. Create custom online feedback forms to gather responses securely on any device with Jotform’s free patient feedback software. Protect your data with HIPAA compliance.
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
Make your own healthcare surveys with Jotform’s powerful feedback software. Add your logo, customize questions, and personalize other design elements with our intuitive no-code Form Builder.
Receive Notifications Instantly
View feedback instantly with email notifications. You can also download Jotform Mobile Forms — our free mobile app — to receive push notifications on your iOS or Android device.
Expertly Manage Submissions
Manage form submissions in Jotform Tables as a spreadsheet or as individual cards for every patient — or quickly respond to patients’ feedback directly from Jotform Inbox.
Set Up Kiosk Mode
Collect multiple submissions with an in-person kiosk. You can also generate and share a contactless QR code so patients can fill out your form safely from their own device.
Analyze Data Reports
Generate reports with Jotform Report Builder to reveal important insights about your patients. By analyzing feedback, you can discover what your patients like about your services and what needs improvement.
Testimonials