Healthcare Appointment Scheduling & Reminder Survey

Patient scheduling survey template: measure satisfaction with booking, confirmations, and SMS/email reminders. Reduce no-shows and improve scheduling.

What's Included

AI-Powered Questions

Intelligent follow-up questions based on responses

Automated Analysis

Real-time sentiment and insight detection

Smart Distribution

Target the right audience automatically

Detailed Reports

Comprehensive insights and recommendations

Template Overview

Questions

AI-Powered

Smart Analysis

Ready-to-Use

Launch in Minutes

This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.

Sample Survey Items

Chat Message

Welcome! Please think about your most recent healthcare appointment within the last 6 months.

Multiple Choice

How did you book that appointment?

Phone call to the clinic
Central scheduling phone line
Online patient portal
Provider's mobile app
Third-party website
Walk-in without booking
Someone else booked for me

Opinion Scale

Overall, how easy was it to book your appointment?

Range: 1 – 10

Min: Very difficultMid: NeutralMax: Very easy

Multiple Choice

Which reminder types did you receive for that appointment? Select all that apply.

Text/SMS
Email
Phone call
Mobile app push notification
Patient portal message
Postal mail
I did not receive any reminders

Multiple Choice

How helpful were the reminders for keeping or preparing for your visit?

Very helpful
Somewhat helpful
Neither helpful nor unhelpful
Somewhat unhelpful
Not at all helpful
I did not receive any reminders

Dropdown

When do you prefer to receive appointment reminders?

Same day (morning of the appointment)
1 day before
2 to 3 days before
About 1 week before
Multiple reminders (for example, 3 days and 1 day before)

Matrix

How easy or difficult were these actions for your appointment?

Rows	Very difficult	Somewhat difficult	Neither easy nor difficult	Somewhat easy	Very easy	Not applicable
Booking a new appointment	•	•	•	•	•	•
Rescheduling an appointment	•	•	•	•	•	•
Canceling an appointment	•	•	•	•	•	•

Multiple Choice

Which, if any, made scheduling harder? Select all that apply.

Long hold times on the phone
Limited available time slots
Patient portal was hard to use
Could not find my provider in the system
Insurance or authorization confusion
Accessibility or language barriers
Privacy or security concerns
None of the above

Multiple Choice

Attention check: To confirm you are paying attention, please select "I agree."

I agree
I disagree

Q10

Rating

Overall, how satisfied are you with the scheduling and reminder process?

Scale: 11 (star)

Min: Very dissatisfiedMax: Very satisfied

Q11

Long Text

What is one thing that would make scheduling or reminders better for you?

Max 600 chars

Q12

Dropdown

What is your age group?

18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say

Q13

Multiple Choice

Which of the following best describes your gender?

Woman
Man
Non-binary
Prefer not to say

Q14

Short Text

Country/region where you live:

Max 100 chars

Q15

Dropdown

What is the highest level of education you have completed?

Less than high school
High school or equivalent
Some college or associate degree
Bachelor's degree
Postgraduate degree
Prefer not to say

Q16

Multiple Choice

What is your current employment status?

Employed full-time
Employed part-time
Self-employed
Unemployed
Student
Retired
Homemaker/caregiver
Prefer not to say

Q17

Multiple Choice

What type of health coverage do you currently have?

Private insurance
Public/government plan
None/self-pay
Prefer not to say

Q18

Long Text

Any other comments about your scheduling or reminder experience?

Max 600 chars

Q19

AI Interview

AI Interview: 2 Follow-up Questions on Patient Scheduling and Reminders

AI InterviewLength: 2Personality: [Object Object]Mode: Fast

Q20

Chat Message

Thank you for your time—your feedback helps improve scheduling and reminders.

Frequently Asked Questions

What is QuestionPunk?

QuestionPunk is a lightweight survey platform for live AI interviews you control. It's fast, flexible, and scalable—adapting every question in real time, moderating responses across languages, letting you steer prompts, models, and flows, and even generating surveys from a simple prompt. Get interview-grade insight with survey-level speed across qual and quant.

How do I create my first survey?

Sign up, then decide how you want to build: let the AI generate a survey from your prompt, pick a template, or start from scratch. Choose question types, set logic, and preview before sharing.

How can I share surveys with my team?

Send a project link so teammates can view and collaborate instantly.

Can the AI generate a survey from a prompt?

Yes. Provide a prompt and QuestionPunk drafts a survey you can tweak before sending.

How long does support typically take to reply?

We reply within 24 hours—often much sooner. Include key details in your message to help us assist you faster.

Can I export survey results?

Absolutely. Export results as CSV straight from the results page for quick data work.