Nurse Feedback Form Template

Benefits of this nurse feedback form template

Use it on Kiosks

Install SurveySparrow app on any device and use it on an offline kiosk to collect nurse feedback. The mobile responsive design of the form gives you flexibility to use device of any screen size. The offline usability allows NGOs, social welfare groups, and government healthcare agencies to collect feedback at isolated location during nursing camps.

20+ Question Types

With different question types, you can collect comprehensive feedback. Our questionnaire builder has multiple-choice, rating-based, matrix type, open-ended, yes/no, opinion scale questions, rank-based and many others. Using these types, you can get into deeper understanding of patient’s and doctor’s needs.

Sentiment Analysis

To get clear insights from open-ended questions, enable sentiment analysis. The module will collate all the responses into a word cloud helping you understand the patient’s and doctor’s intent. When you see specific words being repeated in feedback, it is easier to take actions.

Related Template: Nursing Shift Handover Checklist Template

How to use this template?

Step 1: Customize

Our survey builder has features that help you customize the template for your needs. You can add or remove questions, change the order, use AI to tweak the tone. The builder has built-in Unsplash library of image for you to make your survey beautiful.

Step 2: Integrate

Connect your feedback survey with 20+ apps to broaden beyond just collecting feedback. These apps help you email campaigns, better data analysis, and get in touch with the respondent personally to address their issues.

Step 3: Share

Use multiple sharing options to collect nurse feedback from different channels. Share the questionnaire through SMS, QR codes, direct link, email, and more. Track feedback from each channel and improve your feedback collection process.

Step 4: Analyze Results

With a visually insightful dashboard, you can slice and dice the data to get actionable insights. Know the weaknesses, conduct training programs for nurses, and help them make better connections with the patients.

Sample Nurse Feedback Questions

1. How would you rate your overall experience with our nursing staff?
2. How professional was the nurse during your interaction?
3. How clearly did the nurse explain about your treatment or procedure?
4. How empathetic and compassionate was the nurse?
5. How promptly did the nurse respond to your needs or concerns?
6. How comfortable did the nurse make you feel during your care?
7. On a scale of 1 to 5, how much would you rate the nurse's technical skills?
8. How effective was the nurse in understanding your pain or discomfort?
9. How well did the nurse listen to your concerns or questions?
10. Do you have any other feedback to share?