Patient Visit Experience: Pain, Communication & Discharge
Measures patient satisfaction across pain management, provider communication, and discharge preparedness for inpatient, outpatient, emergency, and telehealth visits.
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
25
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
Q1
Chat Message
Welcome to this patient experience survey. We are collecting feedback to improve the quality of care at our facility.
This survey is voluntary and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions. Your responses are confidential and will be reported only in aggregate.
The survey takes approximately 5–7 minutes to complete. Thank you for your time.
Q2
Dropdown
When was your most recent healthcare visit?
In the last 7 days
8–14 days ago
15–30 days ago
1–3 months ago
More than 3 months ago
Q3
Multiple Choice
What type of healthcare visit was it?
Emergency department
Inpatient hospital stay (overnight)
Outpatient clinic or urgent care
Telehealth / virtual visit
Other (please specify)
Q4
Multiple Choice
Did you experience pain during this visit?
Yes
No
Q5
Opinion Scale
Healthcare staff took my pain seriously during this visit.
How confident did you feel managing your health after leaving?
Range: 1 – 7
Min: Not at all confidentMid: NeutralMax: Extremely confident
Q17
Multiple Choice
Which of the following supports did you receive before leaving? Select all that apply.
Written instructions provided
Demonstration or teach-back used
Follow-up appointment scheduled
Prescription(s) arranged before leaving
Transportation support provided
Home care or community support arranged
None of the above
Not applicable
Q18
Opinion Scale
Overall, how would you rate the quality of care you received during this visit?
Range: 1 – 7
Min: Very poorMid: NeutralMax: Excellent
Q19
Opinion Scale
How likely are you to recommend this healthcare facility to a friend or family member?
Range: 1 – 7
Min: Not at all likelyMid: NeutralMax: Extremely likely
Q20
Long Text
Based on your responses in this survey, please share any additional thoughts or feelings about your visit experience.
Max chars
Q21
AI Interview
Thank you for your written feedback. We'd like to ask a couple of brief follow-up questions to better understand your experience.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 5
Q22
Dropdown
What is your age group?
18–24
25–34
35–44
45–54
55–64
65–74
75 or older
Prefer not to say
Q23
Multiple Choice
How do you describe your gender? Select all that apply.
Woman
Man
Non-binary
Another gender identity
Prefer not to say
Q24
Dropdown
What is your current employment status?
Employed full-time
Employed part-time
Self-employed
Unemployed
Student
Retired
Unable to work
Prefer not to say
Q25
Chat Message
Thank you for completing this survey. Your feedback helps us improve the quality of care we provide. Your responses are confidential and will be reviewed in aggregate.
If you have an urgent medical concern, please contact your healthcare provider directly.
Frequently Asked Questions
What is QuestionPunk?
QuestionPunk is an AI-powered survey and research platform that turns traditional surveys into adaptive conversations. Describe your research goal and get a complete survey draft, conduct AI-moderated interviews with dynamic follow-ups, detect low-quality responses, and produce insights automatically. It's fast, flexible, and scalable across qualitative and quantitative research.
How do I create my first survey?
Sign up, then choose how to build: describe your research goal and let AI generate a survey, pick a template, or start from scratch. Add question types, set logic, preview, and share.
Can the AI generate a survey from a prompt?
Yes. Describe your research goal in plain language and QuestionPunk drafts a complete survey with appropriate question types, ordering, and AI follow-up logic. You can then customize before publishing.
What question types are available?
QuestionPunk supports a wide range of question types: opinion scale, rating, multiple choice, dropdown, ranking, matrix, constant sum, AI interview (text and audio), long text, short text, email, phone, date, address, website, numeric, audio/video recording, contact form, chat message, conversation reset, button, page breaks, and more.
How do AI interviews work?
AI interviews conduct adaptive conversations with respondents. The AI asks follow-up questions based on what the respondent says, probing for clarity and depth. You control the personality, tone, model (Haiku, Sonnet, or Opus), and question mode (fixed count, AI decides when to stop, or time-based).
Can I test my survey before launching?
Yes. Use synthetic testing to create AI personas and run them through your survey. This helps catch issues with question flow, logic, and wording before real respondents see it.
How many languages are supported?
QuestionPunk supports 142+ languages. Add languages from the survey editor, auto-translate questions, and share language-specific links. AI interviews also adapt to the respondent's language automatically.
How can I share my survey?
Share via a direct link (with optional custom slug), embed on your website (iframe or script), distribute through Prolific for research panels, or generate a QR code for physical distribution.
Can I export survey results?
Yes. Export as CSV (flat or wide layout), Excel (XLSX), or export the survey structure as PDF/Word. Filter by suspicious level, response type, language, or date range before exporting.
Does QuestionPunk detect fraudulent responses?
Yes. Every response is automatically classified with a suspicious level (low/medium/high) based on attention checks, response timing, and behavioral signals. You can filter flagged responses in the Responses tab.
What are the pricing plans?
Basic (Free): 20 responses/month. Business ($50/month or $500/year): 5,000 responses/month with priority support. Enterprise (Custom): unlimited responses, remove branding, custom domain, and dedicated support.
How long does support take to reply?
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