Post-Visit Patient Support & Education Experience Survey
Measures patient perceptions of post-visit support access, health education clarity, and care coordination quality. Designed for healthcare organizations seeking to identify gaps in patient communication and follow-up processes.
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
22
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, and thank you for participating. This brief survey (approximately 5 minutes) asks about your most recent healthcare visit. Your participation is voluntary and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions. All responses are confidential and will be reported only in aggregate to help improve patient care.
Q2
Multiple Choice
When was your most recent healthcare visit?
Within the last 30 days
1–3 months ago
3–6 months ago
6–12 months ago
More than 12 months ago
I have not had a visit in the past 12 months
Q3
Multiple Choice
What type of care setting did you visit most recently?
Primary care / family medicine
Specialist clinic
Hospital outpatient clinic
Emergency or urgent care
Telehealth / virtual visit
Behavioral or mental health
Other
Q4
Opinion Scale
How easy was it to reach your care team when you needed help?
Range: 1 – 7
Min: Very difficultMid: NeutralMax: Very easy
Q5
Multiple Choice
Which of the following support channels did you use to get help? Select all that apply.
Phone call
Patient portal messages
Email
Text / SMS
In-person nurse line or walk-in
24/7 helpline
Support group or peer navigator
None of the above
Other
Q6
Opinion Scale
The explanations I received about my condition and treatment were clear and easy to understand.
Before you left, did you have a clear plan for your next steps in care?
Yes, a written plan
Yes, a verbal plan only
Partly
No
Not applicable
Q11
Dropdown
If you were referred to another provider, approximately how long did you wait between the referral and the appointment?
Less than 1 week
1–2 weeks
2–4 weeks
1–2 months
More than 2 months
I am still waiting
Not applicable — I was not referred
Q12
Opinion Scale
How confident are you in managing your health based on what you learned during your visit?
Range: 1 – 7
Min: Not at all confidentMid: NeutralMax: Extremely confident
Q13
Opinion Scale
How likely are you to recommend this clinic or care team to a friend or family member?
Range: 0 – 10
Min: Not at all likelyMid: NeutralMax: Extremely likely
Q14
AI Interview
We'd like to understand your experience in more detail. An AI moderator will ask you a couple of brief follow-up questions about the support and education you received.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 6
Q15
Long Text
What went particularly well during your most recent visit?
Max chars
Q16
Long Text
Based on your responses in this survey, is there anything else we could improve about support, education, or care coordination?
Max chars
Q17
Dropdown
What is your age?
18–24
25–34
35–44
45–54
55–64
65–74
75+
Prefer not to say
Q18
Multiple Choice
Which best describes your gender?
Woman
Man
Non-binary
Another identity
Prefer not to say
Q19
Dropdown
Where do you currently live?
United States
Canada
United Kingdom
Australia
India
Other
Prefer not to say
Q20
Dropdown
What is the highest level of education you have completed?
Less than high school
High school or equivalent
Some college or technical training
Bachelor's degree
Graduate or professional degree
Prefer not to say
Q21
Multiple Choice
Do you currently live with any ongoing health conditions? Select all that apply.
Diabetes
Heart or circulatory condition
Respiratory condition (e.g., asthma, COPD)
Mental health condition
Musculoskeletal or pain condition
Neurological condition
None of the above
Other
Prefer not to say
Q22
Chat Message
Thank you for completing this survey. Your feedback is valuable and will be used to improve patient support, education, and care coordination.
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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