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Healthcare & Clinical

Group Therapy Program Interest and Preferences Survey

For behavioral health practices and clinics considering a group therapy offering, this survey gauges patient interest, preferred format and focus, and the barriers that hold people back. An AI follow-up interview digs into the real reasons behind someone's interest or hesitation so program design reflects what patients would actually attend.

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設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全13問・約7分
Q01
メッセージ

Thanks for taking a few minutes to share your thoughts on group therapy. There are no right or wrong answers — we just want to understand what would (or wouldn't) work for you. This should take about 5 minutes, and your responses are confidential.

Q02
選択式必須

Which best describes your current experience with therapy or counseling?

  • Currently in individual therapy
  • Currently in group therapy
  • Have done individual therapy in the past, not currently
  • Have done group therapy in the past, not currently
  • Have never done therapy
Q03
オピニオンスケール必須

How interested are you in joining a group therapy program if one were offered to you?

スケール: 0 – 10
最小:Not at all interested最大:Extremely interested
Q04
選択式

Which topics or focus areas would you want a group to address? Select all that apply.

  • Anxiety
  • Depression or low mood
  • Grief and loss
  • Relationship or family issues
  • Stress and burnout
  • Substance use or addiction recovery
  • Trauma processing
  • Chronic illness or pain coping
Q05
選択式必須

If you joined a group, which format would you prefer?

  • In-person only
  • Virtual (video call) only
  • Either works for me
  • I would not join either format
Q06
ベスト・ワースト選択（MaxDiff）

Thinking about joining a group therapy program, which of these concerns would matter most to you, and which would matter least?

  • Scheduling conflicts with work or family
  • Cost or insurance coverage
  • Privacy or confidentiality within the group
  • Discomfort sharing personal experiences with strangers
  • Not feeling like I'd fit with other members
  • Travel or transportation to sessions
  • Length of the overall time commitment
  • Uncertainty about whether it would actually help
各セットで最も良いもの・最も悪いものを選択最も良い:Biggest concern最も悪い:Smallest concern
Q07
評価スケール必須

How comfortable would you feel sharing personal experiences in front of a small group of people you don't know well?

範囲: 1 – 5
最小:Very uncomfortable最大:Very comfortable
Q08
選択式

What group size would feel most manageable to you?

  • Small (4-6 people)
  • Medium (7-10 people)
  • Large (11+ people)
  • No preference
Q09
選択式

How often would you realistically be able to attend group sessions?

  • Weekly
  • Every other week
  • Monthly
  • I'm not sure I could commit to a regular schedule
Q10
AIインタビュー

Explore the real drivers behind this person's interest level, anchoring on their stated interest score and their top-ranked concern from the trade-off question. If interest is high, probe what specifically appeals to them and what would make them sign up versus keep delaying. If interest is low or the biggest concern is discomfort/privacy, gently explore what (if anything) could change their mind, or confirm that one-on-one support is simply a better fit for them. If they mention past group therapy experience, ask what worked or didn't work about it.

Q11
選択式

What is your age range? (optional)

  • Under 18
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65+
  • Prefer not to say
Q12
選択式

How do you describe your gender identity? (optional)

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q13
メッセージ

Thank you for sharing your thoughts! We'll use this to shape whether and how we offer group therapy — including topics, formats, and scheduling that actually fit people's lives. Your individual answers stay confidential and are only reviewed in aggregate by our clinical team.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Includes an AI follow-up interview that explores the real drivers behind a patient's interest or hesitation, anchored on their own prior answers, instead of stopping at closed-ended ratings
  • Uses a MaxDiff exercise to force-rank which specific concerns (privacy, cost, scheduling, discomfort sharing, etc.) matter most, rather than just listing barriers as a checkbox
  • Pairs a comfort rating on sharing personal experiences in a group with format, group-size, and frequency questions so clinics can right-size the program before launch
  • Closes with optional age-range and gender-identity demographics and an auto-generated report, keeping the core survey short while still supporting program planning

Jotform

Group Therapy Interest Survey Form Template

A ready-to-use static form template for gauging patient interest in group therapy, built on Jotform's drag-and-drop form builder. It covers the basics of interest and availability but relies on fixed question sets rather than any adaptive follow-up. Good for quick deployment, less suited to uncovering nuanced reasons behind hesitation.

優れている点

  • Fielding-ready template within a widely used, easy-to-customize form builder
  • Likely supports quick embedding on a practice website or patient portal
  • Simple interest-gauging structure appropriate for initial outreach

物足りない点

  • No adaptive AI follow-up questioning — every respondent sees the same static fields
  • No per-response quality scoring or automated analysis of open-ended nuance
  • No transparent, published methodology for how questions were designed

SurveySparrow

Group Therapy Interest Survey Template for Facilitators

A conversational-style survey template aimed at facilitators assessing group therapy interest, leveraging SurveySparrow's chat-like UI for a friendlier respondent experience. It's a fixed-path template, so 'conversational' here refers to visual presentation rather than dynamic branching based on answers. Useful for a warmer intake feel but not for probing deeper into individual motivations.

優れている点

  • Chat-style presentation may feel less clinical and more approachable to patients
  • Purpose-built for facilitators evaluating group therapy demand
  • Ready-to-field template requiring minimal setup

物足りない点

  • No true AI-driven adaptive interviewing — the conversational format is presentation, not logic-based probing
  • No voice AI interview option or screen-share guided tasks
  • No transparent prompt visibility or automated report generation described

Typeform

Group Therapy Booking Form Template

This is primarily a booking/scheduling form for enrolling patients into group sessions rather than a pre-launch interest and preference survey, so it serves a different stage of the patient journey. It shares Typeform's clean, one-question-at-a-time interface, which improves completion but doesn't substitute for exploratory research on demand or barriers. Clinics already committed to a group program may find it useful downstream of a survey like this one.

優れている点

  • Polished, mobile-friendly one-question-at-a-time interface known for high completion rates
  • Purpose-built for the booking/logistics stage rather than open-ended research
  • Easy integration with scheduling and calendar tools typical of Typeform's ecosystem

物足りない点

  • Not designed to explore interest levels or barriers — no adaptive follow-up or motivation-probing capability
  • No mechanism for surfacing why hesitant patients are hesitant before a program is designed
  • No automated quality scoring or synthesized report of qualitative responses

よくあるご質問

「Group Therapy Program Interest and Preferences Survey」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が13問含まれており、最初の設問は次のとおりです：「Thanks for taking a few minutes to share your thoughts on group therapy. There are no right or wrong answers — we just w…」・「Which best describes your current experience with therapy or counseling?」・「How interested are you in joining a group therapy program if one were offered to you?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、13問を約7分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

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