All Templates

Patient Portal Usability & Satisfaction Survey Template

Measure patient portal usability and satisfaction: navigation, records access, and messaging. Ready-to-use, customizable survey to improve digital health UX.

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

Sample Survey Items

Q1
multiple choice
What device did you primarily use to access your patient portal in the last 3 months?
  • Smartphone app
  • Smartphone web browser
  • Tablet
  • Laptop/desktop
  • I did not use the portal in the last 3 months
Q2
multiple choice
How often did you use the portal in the last 3 months?
  • Never
  • Once
  • 2-3 times
  • About monthly
  • About weekly or more
Q3
matrix
Thinking of your most recent portal use in the last 3 months, how easy was it to find each area?
Q4
opinion scale
Overall, how easy was it to find what you needed on the portal in the last 3 months?
Q5
multiple choice
When you viewed your health records online in the last 3 months, how complete did they appear?
  • Very complete
  • Mostly complete
  • Some information was missing
  • Many details were missing
  • Not sure
  • Not applicable (did not view records)
Q6
multiple choice
During your most recent visit in the last 3 months, how satisfied were you with how quickly records loaded?
  • Very satisfied
  • Somewhat satisfied
  • Neither satisfied nor dissatisfied
  • Somewhat dissatisfied
  • Very dissatisfied
  • Not applicable (did not view records)
Q7
multiple choice
In the last 3 months, were you able to download or print your records?
  • Did not try
  • Yes, easily
  • Yes, but it was difficult
  • No
Q8
multiple choice
In the last 3 months, how satisfied were you with secure message response time from your care team?
  • Very satisfied
  • Somewhat satisfied
  • Neither satisfied nor dissatisfied
  • Somewhat dissatisfied
  • Very dissatisfied
  • Not applicable (did not send messages)
Q9
multiple choice
In the last 3 months, what topics did you send secure messages about? Select up to 3.
  • Medication question
  • Test results clarification
  • Appointment scheduling
  • Billing question
  • Care instructions or follow-up
  • Referral or forms
  • Other
Q10
opinion scale
How likely are you to recommend using this patient portal to a friend or family member?
Q11
ranking
Please rank these potential improvements from most to least important to you.
Q12
dropdown
What is your age?
Q13
multiple choice
How do you describe your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q14
dropdown
Where do you live?
Q15
multiple choice
What is your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Unemployed
  • Retired
  • Student
  • Homemaker/caregiver
  • Unable to work
  • Prefer not to say
Q16
multiple choice
Attention check: To confirm you are paying attention, please select "No" for this question.
  • Yes
  • No
Q17
long text
Anything else you want us to know about your portal experience?
Max 600 chars
Q18
ai interview
AI Interview: 2 Follow-up Questions on Your Portal Experience
AI Interview
Q19
chat message
Thanks for your time—your feedback helps improve the patient portal.

Ready to Get Started?

Launch your survey in minutes with this pre-built template

Patient Portal Usability & Satisfaction Survey Template - Survey Template | QuestionPunk