Telehealth Visit Satisfaction Survey

Improve Your Telehealth Services with Patient Feedback

Telehealth has transformed how healthcare providers deliver care, but understanding the patient experience is essential to refining your virtual visit services. This Telehealth Visit Satisfaction Survey template is designed specifically for healthcare practices, clinics, and telehealth platforms looking to measure patient satisfaction across the key dimensions of virtual care.

Whether you're a small medical practice just starting with virtual appointments or an established telehealth provider serving hundreds of patients, this survey template helps you capture actionable feedback on technology ease of use, provider attentiveness, appointment availability, and overall patient experience.

What Makes This Template Essential for Healthcare Providers

This survey goes beyond generic satisfaction questions to address the unique aspects of telehealth delivery. You'll gather insights on:

• Technology experience – How easy was it for patients to join their appointment? Did they encounter technical difficulties?
• Provider quality – Was the healthcare provider attentive, thorough, and professional during the virtual visit?
• Appointment availability – Could patients book convenient time slots that fit their schedules?
• Overall satisfaction – Would patients use telehealth again and recommend it to others?

The template includes a HIPAA acknowledgment section to maintain compliance while collecting feedback, ensuring patients understand how their information will be used.

Built for Healthcare Workflows

Paperform makes it simple to distribute this survey immediately after telehealth appointments via email, SMS, or embedded on your patient portal. Use conditional logic to ask follow-up questions based on satisfaction ratings, and leverage AI Insights to automatically summarize themes from open-ended responses—perfect for quality improvement meetings and compliance reporting.

Connect your survey results to your EHR system, CRM, or Google Sheets using Stepper workflows to automatically flag low satisfaction scores for follow-up, route feedback to relevant departments, and track satisfaction trends over time without manual data entry.

With Paperform's professional themes and customization options, you can brand this survey to match your practice's look and feel, creating a seamless patient experience from appointment to follow-up.

Note: While Paperform is not HIPAA compliant, this survey is designed to collect non-PHI feedback data. For transmitting protected health information, please use appropriate HIPAA-compliant platforms.

Start measuring and improving your telehealth patient experience today with this ready-to-use satisfaction survey template.