Why use this patient demographic form template?

Library of Question Types

Our varied types of questions, helps in capturing all the aspects of a person’s demographics. Use multiple choice questions, open ended ones or rating based.

Choose your language

Use our platform to customize the language based on your region. The form supports almost all primary languages ensuring patients from any language background will be able to fill the form.

Analyze and Diagnose

With our real time analysis and report generations, gain rich insights about the patient demographics and potentially improve upon your hospital business.

Tweak this patient demographic form based on your needs using our builder!

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