Patient Feedback Form
Privately and securely gather valuable feedback directly from your patients
Move your patient feedback forms from slow, manual and error prone paper processes to an online patient and medical feedback form.
Our focus on privacy and security in line with the New Zealand Privacy Principles ensures you can collect the data you need from patients whilst maintaining that any information you collect is managed in accordance with New Zealand law allowing your practice to continually improve the care to your patients.
Use the template below or many others to get started, or create your own.
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Keep responses anonymous
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Fully customisable form designs
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New Zealand data residency
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Mobile responsive forms
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Either link to the form directly or embed it on your website
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Get notified when someone fills in your form
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View or export form responses at any time