Preventive Care Screening Patient Survey
About this free form template

Improve Your Preventive Care Screening Experience

Preventive care screenings are a cornerstone of quality healthcare, helping catch potential health issues before they become serious. But the patient experience around these screenings—from understanding recommendations to coordinating follow-up tests—can make or break health outcomes and satisfaction.

This Preventive Care Screening Patient Survey template helps healthcare providers, clinics, hospitals, and wellness centers gather meaningful feedback on every stage of the screening process. Whether you're evaluating mammography programs, colonoscopy services, cardiovascular screenings, or routine health checks, this survey captures what matters most: recommendation clarity, shared decision-making quality, results explanation thoroughness, and follow-up coordination effectiveness.

Why This Survey Matters

With Paperform, you can create a professional, GDPR-compliant patient survey that feels approachable rather than clinical. The doc-style editor lets you add your clinic's branding, images, and tone of voice, while conditional logic tailors questions based on screening types and patient experiences.

Once responses come in, use AI Insights to quickly identify trends across hundreds of submissions—spotting recurring issues with communication, scheduling, or results delivery without manually reading every response. You can also connect this form to your CRM, patient management system, or Slack via Stepper workflows to automatically flag negative feedback for immediate follow-up or route satisfaction data to quality improvement teams.

Perfect for healthcare administrators, patient experience managers, quality improvement coordinators, and clinic managers committed to delivering patient-centered preventive care.

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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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