Chiropractic Practice Patient Acquisition & Retention Study
About this free form template

Understanding what attracts patients to your chiropractic practice—and what keeps them coming back—is essential for sustainable growth. This Chiropractic Practice Patient Acquisition & Retention Study template helps you gather actionable consumer insights on treatment frequency patterns, insurance coverage importance, wellness program interest, and the motivations behind patient referrals.

Built for chiropractic practices, wellness clinics, and healthcare market researchers, this survey covers the full patient journey: how people discover chiropractic care, what drives their treatment decisions, which services they value most, and why they recommend (or don't recommend) your practice to others.

With Paperform, you can brand this survey to match your practice identity, embed it on your website, or share it via email and social channels. Use conditional logic to tailor follow-up questions based on patient experience, and let AI Insights automatically summarize hundreds of responses into clear themes and actionable recommendations—no spreadsheet analysis required.

Connect responses to your CRM, project management tools, or Google Sheets using Stepper (stepper.io) workflows to trigger follow-up campaigns, route feedback to your team, or segment patients for targeted wellness programs. You can also use Papersign (papersign.com) to turn interested survey respondents into enrolled wellness program members with seamless eSignature collection.

Whether you're launching a new service, refining your patient experience, or planning your next marketing campaign, this template gives you the consumer insights you need to make data-driven decisions that improve both patient acquisition and long-term retention.

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avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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