{"flag":true,"survey":{"guid":"57be3f15-c980-4f33-8cb2-01ccb92226a0","email":null,"title":"{{CompanyName|Doctor's Office}} Patient Satisfaction Survey","centerAligned":false,"dirty":false,"createdDate":"2020-01-22T01:28:32.9676967","modifiedDate":"2020-01-22T01:28:32.9676967","activePageIndex":0,"pages":[{"guid":"eaa1c751-aef0-47ab-b3cb-9693ccb312b5","title":null,"titleDisplay":"[Page 1]","description":null,"centerAligned":false,"dirty":false,"pageIndex":0,"activeQuestionIndex":0,"deleted":false,"deletedDate":null,"questions":[{"guid":"b7356ec5-1e4e-4a4e-9031-d9302e2daf66","questionType":"Net Promoter&reg; Score","title":"How likely is it that you would recommend {{CompanyName|our office}} to a friend or colleague?","titleDisplay":"How likely is it that you would recommend {{CompanyName|our office}} to a friend or colleague?","question":"{\"title\":\"How likely is it that you would recommend {{CompanyName|our office}} to a friend or colleague?\",\"subject\":\"{{CompanyName|our office}}\",\"requireAnswer\":true}","questionIndex":0,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"d0f64964-bcf0-4dd9-9625-309b751c876c","questionType":"Multiple Choice","title":"Did your appointment with your provider start early, on time or late?","titleDisplay":"Did your appointment with your provider start early, on time or late?","question":"{\"title\":\"Did your appointment with your provider start early, on time or late?\",\"multiSelect\":false,\"choices\":[\"Very early\",\"Somewhat early\",\"On time\",\"Somewhat late\",\"Very late\"],\"addOtherAnswerOption\":false,\"addOtherLabel\":\"\",\"addOtherBlankMessage\":\"\",\"requireAnswer\":false}","questionIndex":1,"dirty":false,"deleted":false,"deletedDate":null},{"guid":"17f9980e-de0f-4546-8d5d-276a90844b69","questionType":"Star Rating","title":"How would you rate the service you received from your provider?","titleDisplay":"How would you rate the service you received from your provider?","question":"{\"title\":\"How would you rate the service you received from your provider?\",\"requireAnswer\":false,\"length\":5,\"symbol\":\"star\",\"color\":\"#F5A623\",\"labels\":[],\"weights\":[],\"addNonApplicableColumn\":false,\"addOtherAnswerOption\":false}","questionIndex":2,"dirty":false,"deleted":false,"deletedDate":null}]}],"colorTheme":{"id":160,"guid":"f34e29a6-6c4f-4209-824d-e1992392eed3","name":"Pantone 2020: Classic Blue","isSystem":true,"dirty":false,"accountId":null,"usedCount":0,"profile":{"logoBackColor":null,"titleBackColor":"#009473","titleTextColor":"#ffffff","pageTitleBackColor":"#199e81","pageTitleTextColor":"#ffffff","backColor":"#efefef","backImage":"","backIcon":"","backSize":"","backSource":"upload","pageBackColor":"#cdecdb","pageDescriptionTextColor":"#000000","validationTextColor":"#ff0000","questionPrefixTextColor":"#ff0000","questionTitleTextColor":"#000000","questionFontWeight":"300","questionTextItalic":false,"questionTextUnderline":false,"answerFontWeight":"300","answerTextItalic":false,"answerTextUnderline":false,"answerTextColor":"#000000","font":"Montserrat"}},"profile":{"language":{"defaultLanguage":"En"},"display":{"surveyTitleOn":true,"pageTitlesOn":true,"pageNumbersOn":false,"questionNumbersOn":true,"requiredAsterisksOn":true,"previousButtonsOn":true,"progressBar":{"on":false,"position":null,"type":"question"},"exitLinkOn":false,"displayFormat":"classic","backgroundOpacity":1.0,"multiChoiceSymbolType":"classic","textboxStyle":"line","watermark":{"url":null,"position":null,"width":null,"height":null,"opacity":0.0}},"footer":{"removeBrandFooter":false,"customFooter":""},"alerts":{"enableDailyAlerts":true,"enableEveryResponseAlerts":false},"logo":{"place":"none","align":null,"url":null,"source":null,"width":null,"height":null},"choiceRnd":{"type":"off","scope":"all","questions":[],"exceptLast":[]},"questionRnd":{"type":"off","scope":"all","questions":[]},"pageRnd":{"type":"off","scope":"all","pages":[]},"buttons":{"previous":null,"next":null,"done":null},"messages":{"invalidAnswer":null,"requiredAnswer":null,"finish":null,"disqualification":null,"closed":null,"alreadyTaken":null,"quotaReached":null},"endPages":{"thankYouRedirectionSeconds":null,"thankYouRedirectUrl":null,"thankYouRecipientEmail":null,"thankYouRecipientCc":null,"thankYouEmailSubject":null,"thankYouEmailBody":null,"disqualificationRedirectionSeconds":null,"disqualificationRedirectUrl":null,"alreadyTakenRedirectionSeconds":null,"alreadyTakenRedirectUrl":null,"closedRedirectionSeconds":null,"closedRedirectUrl":null,"quotaReachedRedirectionSeconds":null,"quotaReachedRedirectUrl":null},"variables":[],"integration":{"salesforceRefreshToken":null,"salesforceOn":false,"googleAnalyticsTrackingCode":null,"salesforceConnects":[],"hubspotRefreshToken":null,"hubspotOn":false,"hubspotConnects":[]},"quota":null,"quotaReached":false,"hasIntroPage":false,"requestedAppraisal":false,"autoSave":false,"autoFill":false,"sentMails":[]},"rules":[],"canManageDesign":false,"canViewDesign":false,"canManageSend":false,"canViewSend":false,"canManageAnalyze":false,"canViewAnalyze":false,"isShared":false,"questionCount":3,"responseCount":0,"collaboratorCount":0,"collectorCount":0,"lastResponseOn":null,"isSample":false,"closed":false},"title":"Doctor's Office Patient Satisfaction Quick Survey Template","content":"\r\n<p>For the Coronavirus (COVID-19) patient survey template,\r\n<a href=\"/freetemplate/coronavirus-covid-19-patient-survey-template\">click here</a>.</p>","industries":["Healthcare/Medical/Pharmaceuticals"]}
 
 
Not at all likely Extremely likely
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 100
/ /
:
 
 
or drag and drop file here drop file here!

Free Survey Template