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

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

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

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

Matrix

Thinking of your most recent portal use in the last 3 months, how easy was it to find each area?

Rows	Very hard	Hard	Neither	Easy	Very easy	Not applicable
Appointments	•	•	•	•	•	•
Test results	•	•	•	•	•	•
Billing and payments	•	•	•	•	•	•
Messages	•	•	•	•	•	•
Insurance/coverage	•	•	•	•	•	•

Opinion Scale

Overall, how easy was it to find what you needed on the portal in the last 3 months?

Range: 1 – 10

Min: Very difficultMid: NeutralMax: Very easy

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)

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)

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

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)

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?

Range: 1 – 10

Min: Very unlikelyMid: NeutralMax: Very likely

Q11

Ranking

Please rank these potential improvements from most to least important to you.

Drag to order (top = most important)

Faster loading and performance
Clearer labels and instructions
Easier login and password reset
More complete records and notes
Quicker message responses
Better mobile experience

Q12

Dropdown

What is your age?

18-24
25-34
35-44
45-54
55-64
65-74
75+
Prefer not to say

Q13

Multiple Choice

How do you describe your gender?

Woman
Man
Non-binary
Prefer not to say

Q14

Dropdown

Where do you live?

United States/Canada
United Kingdom/Ireland
European Union (non-UK)
Asia-Pacific
Latin America/Caribbean
Middle East/Africa
Other
Prefer not to say

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.

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

Q19

Chat Message

Thanks for your time—your feedback helps improve the patient portal.

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.

Usability