Healthcare & Medical · Forms

Patient Satisfaction Survey Template for Healthcare

Create a patient satisfaction survey to evaluate care quality. Attain OS and Atty AI help you build and customize it fast.

Patient satisfaction surveys are essential for healthcare providers who want to measure the quality of care and identify areas for improvement. Whether you run a clinic, hospital, or private practice, collecting feedback directly from patients helps you understand their experience—from wait times to bedside manner.

With Attain OS, you can create a tailored patient satisfaction survey using the built-in Forms app and have Atty, your AI agent, draft a complete form based on your needs. You review, tweak, and publish—no coding or third-party tools required.

Real-world scenarios

When to reach for a patient satisfaction survey

Post-Discharge Feedback for Hospitals

A hospital wants to gather feedback from patients within 48 hours of discharge. The survey covers cleanliness, nurse responsiveness, and discharge instructions. Attain OS lets you create the form and route it to patients via email or a shared link.

Clinic Wait Time Assessment

A busy urgent care clinic needs to understand how wait times affect satisfaction. The survey focuses on check-in speed, triage, and overall visit length. Atty drafts the questions, and you can adjust the form to include time-related fields.

Telemedicine Visit Evaluation

A telehealth provider wants to evaluate video visit quality, audio clarity, and provider communication. The survey includes checkboxes for technical issues and a free-text area for comments. Attain OS handles the form without needing any integration.

With Atty

How Atty gets you to a near-finished draft faster

  1. 1
    Describe your survey goal

    Tell Atty you need a patient satisfaction survey for a specific context, like post-operative care or annual checkups. Atty understands the domain and suggests relevant categories.

  2. 2
    Atty drafts the form

    Based on your description, Atty generates a complete form with fields like overall rating, provider communication, and facility cleanliness. You see a first draft in seconds.

  3. 3
    Review and customize

    You can reorder fields, add or remove questions, and set required fields. Since Attain OS doesn't auto-sync, you have full control over the final version before publishing.

  4. 4
    Publish and collect responses

    Once satisfied, publish the form within Attain OS. Share the link with patients via email or print a QR code. Responses flow into the Forms app for review.

Sample output

What you walk away with

A close-to-finished draft — not a blank page. Here's the kind of result the flow hands you, ready to review, tweak, and publish.

Patient Satisfaction Survey · form

We value your feedback. Please take a few moments to tell us about your recent visit.

Very Satisfied
Excellent
Consider clarity, listening, and explanation.
Less than 15 minutes
Yes
Yes, written instructions Yes, verbal instructions No
Check all that apply.
Share any suggestions or concerns.
Yes
Key takeaways
  • Patient satisfaction surveys help healthcare providers improve care quality and patient experience.
  • Attain OS Forms lets you create custom surveys quickly, with Atty AI drafting the first version.
  • You retain full control over the form—no integrations needed, just publish and share the link.
  • Collect feedback directly in Attain OS, review responses, and make data-driven improvements.
FAQ

Frequently asked questions

Can I use this survey for multiple departments?

Yes. You can create separate forms for each department within Attain OS Forms, or add a department field to a single form and filter responses later.

How do patients access the survey?

You share the form link via email, text, or a QR code. Attain OS does not integrate with external services, but you can manually send the link.

Can I analyze the responses in Attain OS?

Responses are stored in the Forms app, where you can view individual submissions. For deeper analysis, you can export the data manually.

Does Atty help with survey design beyond drafting?

Atty drafts the initial form based on your description. After that, you can edit any field, adjust options, or add new questions manually.

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