Healthcare
Clinic Feedback Survey Template
Collect general feedback about a clinic or practice.
5 questions ~3 min to complete CSAT
What this survey is for
Improve facilities, staff, and service.
Example questions
- 1
How satisfied are you with our clinic?
CSAT
- 2
The front-desk staff were helpful and friendly.
Opinion scale
- 3
How would you rate the comfort of our facilities?
Rating
- 4
Would you recommend our clinic to others?
Yes / No
- 5
What can we do better?
Open text
- Send the clinic feedback survey at the moment it's most relevant to the respondent.
- Keep it short — every extra question lowers completion.
- Always include at least one open-text question so AI can surface themes.
- Segment responses by audience and touchpoint to find what to fix first.
- Close the loop with respondents when you act on their feedback.
Recommended for these industries
Clinic CSATStaff ratingsFacility feedback