Patient Satisfaction
Find out how satisfied your patients are with appointment scheduling, waiting time, the practice team, information and treatment — structured along the dimensions of established instruments such as ZAP and EUROPEP, including likelihood to recommend.
Take the template with one click, adapt it to your project in a few minutes and start collecting answers.
Why this template
Adapted in minutes
Change, add or remove questions — the AI assistant rephrases them on request.
Free to start
Publish the template on a free account — no credit card and no trial clock.
Results in real time
Charts, filters and export to Excel, SPSS or CSV — with no extra work.
How to use this survey
- 1
Take the template
Create a free account and copy the template into your project with one click.
- 2
Adapt the questions
Adjust wording, scales and logic to your context — as often as you like.
- 3
Invite respondents
Share it by link, QR code, email or embedded on your website.
- 4
Analyse the answers
A live dashboard with charts, filters and export into your analysis tool.
The questions in this template
- What was the reason for your most recent visit to our practice?
- How satisfied are you with appointment scheduling and getting through to our practice?
- How long did you wait in the waiting room during your last visit?
- How do you rate that waiting time?
- How satisfied are you with the following aspects of our practice?
- How much do the following statements apply to your consultation with the doctor?
- How well were you informed about the following at our practice?
- How far were you involved in the decision about your treatment?
- I trust the professional competence of this practice.
- How satisfied are you with our practice overall?
- How likely are you to recommend our practice to others?
- What did you particularly like about your visit?
All 15 questions are fully editable.
Frequently asked questions
Is the “Patient Satisfaction” template free?
Yes. You can use, customize and publish the template for free — a free account is all you need.
How do I use the “Patient Satisfaction” template?
One click on “Use this template” creates it as your own survey in the editor. From there you can adapt it and share it by link, QR code, email or embedded on your own website.
Can I change, delete and add questions?
Completely. Once taken, the survey sits in your editor: every question, scale and answer option can be edited, reordered or removed.
What data does the “Patient Satisfaction” template collect?
Which data you collect is decided question by question — if you don't ask for personal data, none is collected. Every question in the template can be changed or removed before you publish.
Are surveys built from the “Patient Satisfaction” template secure and anonymous on empirio.ai?
Respondents need no account and simply open the link. Whether answers stay anonymous is up to the questions you ask: as long as nothing personal is asked, no answer can be traced back to a person.