Healthcare 10 questions · 3-5 minutes · intermediate
Telehealth Visit Feedback Survey Questions
Evaluate patient experience with virtual healthcare appointments. Measure technology usability, provider communication, and overall telehealth satisfaction.
Questions
1
How would you rate your overall telehealth experience?
Rating (1-5) · Required
2
What type of visit did you have?
- Primary care
- Specialist consultation
- Mental health
- Follow-up visit
- Urgent care
- Prescription refill
Multiple Choice · Required
3
How easy was it to connect to the video visit?
Rating (1-5) · Required
4
Did you experience any technical issues?
- No issues
- Minor audio/video issues
- Significant connection problems
- Could not connect
Multiple Choice · Required
5
How well did the provider listen to your concerns?
Rating (1-5) · Required
6
How clearly did the provider explain your condition and treatment?
Rating (1-5) · Required
7
The telehealth visit was as effective as an in-person visit.
Scale · Required
8
Would you choose telehealth for future visits?
- Yes, prefer telehealth
- Yes, when appropriate
- No preference
- Prefer in-person visits
Multiple Choice · Required
9
How likely are you to recommend our telehealth services?
NPS (0-10) · Required
10
How can we improve your virtual care experience?
Long Text
Template Info
- Questions
- 10
- Est. Time
- 3-5 minutes
- Difficulty
- intermediate
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Healthcare
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telehealthtelemedicinevirtual careremote healthcare