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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, Jform’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 Jform 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 Jform Tables — or even generate reports in Jform Report Builder! Switch from paper forms to online forms to collect data fast with free online Patient Feedback Surveys.

이 템플릿들은 단지 제안된 양식들입니다. 이 양식이나 다른 양식을 계약서나 기타 법률 문서로 사용하기 전에 법적 요구 사항이나 귀하의 상황에 맞는지 확인하기 위해 변호사와 상담해 주십시오. Jform에 법적 요청을 보내기 위해 이 양식을 사용하지 마십시오.