Pulmonology Practice Patient Satisfaction Survey Template

Gathering meaningful feedback from respiratory patients is essential for any pulmonology practice committed to delivering excellent care. This Pulmonology Practice Patient Satisfaction Survey template helps you understand patient experiences across key touchpoints—from spirometry and breathing tests to asthma action plans, oxygen therapy education, and medication management.

Why patient feedback matters in pulmonology

Respiratory conditions like asthma, COPD, and sleep apnea require ongoing patient education, close monitoring, and collaborative care planning. When patients clearly understand their breathing tests, feel confident managing their condition at home, and see real improvement with their medications, outcomes improve and adherence increases. This survey template is designed to capture feedback on those critical moments so your practice can identify gaps, celebrate wins, and continuously improve the patient experience.

What this template includes

This survey covers the full spectrum of pulmonology care:

• Breathing test administration: Was the test procedure clearly explained? Did staff put patients at ease during spirometry or other pulmonary function tests?
• Asthma management plan clarity: Do patients understand their asthma action plan, trigger identification, and when to escalate care?
• Oxygen therapy instruction: Are patients confident using their oxygen equipment at home and know how to troubleshoot common issues?
• Medication effectiveness: Are inhalers, nebulizers, and other respiratory medications working as expected, and do patients understand proper usage?
• Overall care quality: From appointment scheduling to provider communication, how satisfied are patients with the entire experience?

You can customise questions, add conditional logic to tailor follow-ups based on diagnosis or treatment type, and use Paperform's AI Insights to automatically summarise themes across hundreds of responses—helping you spot trends without manually combing through spreadsheets.

Built for healthcare teams, designed for patients

This template is optimised for pulmonology practices, respiratory therapy departments, and specialty clinics serving patients with chronic lung conditions. The form is mobile-friendly, WCAG accessible, and easy to complete in under five minutes—whether sent via email after an appointment, displayed on a tablet in your waiting room, or embedded directly on your patient portal.

Responses feed directly into your preferred tools via integrations with Google Sheets, Airtable, Slack, or your CRM, and you can trigger follow-up workflows using Stepper (stepper.io) to route urgent concerns to care coordinators or automatically schedule follow-up calls for patients flagging medication issues.

Compliance and trust

While Paperform is not HIPAA compliant, this survey template is designed to collect satisfaction and experience data without requiring protected health information. You can gather meaningful insights while respecting patient privacy and staying within your organisation's compliance framework.

Trusted by healthcare practices worldwide and backed by SOC 2 Type II compliance, Paperform gives you a secure, professional platform to listen to your patients and take action on what matters most.