Q01
Message
All templatesHealthcare & Clinical
Group Therapy Program Interest and Preferences Survey
For behavioral health practices and clinics considering a group therapy offering, this survey gauges patient interest, preferred format and focus, and the barriers that hold people back. An AI follow-up interview digs into the real reasons behind someone's interest or hesitation so program design reflects what patients would actually attend.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Multiple ChoiceRequired
Which best describes your current experience with therapy or counseling?
- Currently in individual therapy
- Currently in group therapy
- Have done individual therapy in the past, not currently
- Have done group therapy in the past, not currently
- Have never done therapy
Q03
Opinion ScaleRequired
How interested are you in joining a group therapy program if one were offered to you?
Scale: 0 – 10
Min:Not at all interestedMax:Extremely interested
Q04
Multiple Choice
Which topics or focus areas would you want a group to address? Select all that apply.
- Anxiety
- Depression or low mood
- Grief and loss
- Relationship or family issues
- Stress and burnout
- Substance use or addiction recovery
- Trauma processing
- Chronic illness or pain coping
Q05
Multiple ChoiceRequired
If you joined a group, which format would you prefer?
- In-person only
- Virtual (video call) only
- Either works for me
- I would not join either format
Q06
Best–Worst Trade-off (MaxDiff)
Thinking about joining a group therapy program, which of these concerns would matter most to you, and which would matter least?
- Scheduling conflicts with work or family
- Cost or insurance coverage
- Privacy or confidentiality within the group
- Discomfort sharing personal experiences with strangers
- Not feeling like I'd fit with other members
- Travel or transportation to sessions
- Length of the overall time commitment
- Uncertainty about whether it would actually help
Pick best & worst per setBest:Biggest concernWorst:Smallest concern
Q07
Rating ScaleRequired
How comfortable would you feel sharing personal experiences in front of a small group of people you don't know well?
Range: 1 – 5
Min:Very uncomfortableMax:Very comfortable
Q08
Multiple Choice
What group size would feel most manageable to you?
- Small (4-6 people)
- Medium (7-10 people)
- Large (11+ people)
- No preference
Q09
Multiple Choice
How often would you realistically be able to attend group sessions?
- Weekly
- Every other week
- Monthly
- I'm not sure I could commit to a regular schedule
Q10
AI Interview
Explore the real drivers behind this person's interest level, anchoring on their stated interest score and their top-ranked concern from the trade-off question. If interest is high, probe what specifically appeals to them and what would make them sign up versus keep delaying. If interest is low or the biggest concern is discomfort/privacy, gently explore what (if anything) could change their mind, or confirm that one-on-one support is simply a better fit for them. If they mention past group therapy experience, ask what worked or didn't work about it.
Q11
Multiple Choice
What is your age range? (optional)
- Under 18
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65+
- Prefer not to say
Q12
Multiple Choice
How do you describe your gender identity? (optional)
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q13
Message
Thank you for sharing your thoughts! We'll use this to shape whether and how we offer group therapy — including topics, formats, and scheduling that actually fit people's lives. Your individual answers stay confidential and are only reviewed in aggregate by our clinical team.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Includes an AI follow-up interview that explores the real drivers behind a patient's interest or hesitation, anchored on their own prior answers, instead of stopping at closed-ended ratings
- Uses a MaxDiff exercise to force-rank which specific concerns (privacy, cost, scheduling, discomfort sharing, etc.) matter most, rather than just listing barriers as a checkbox
- Pairs a comfort rating on sharing personal experiences in a group with format, group-size, and frequency questions so clinics can right-size the program before launch
- Closes with optional age-range and gender-identity demographics and an auto-generated report, keeping the core survey short while still supporting program planning
Jotform
Group Therapy Interest Survey Form TemplateA ready-to-use static form template for gauging patient interest in group therapy, built on Jotform's drag-and-drop form builder. It covers the basics of interest and availability but relies on fixed question sets rather than any adaptive follow-up. Good for quick deployment, less suited to uncovering nuanced reasons behind hesitation.
What it does well
- Fielding-ready template within a widely used, easy-to-customize form builder
- Likely supports quick embedding on a practice website or patient portal
- Simple interest-gauging structure appropriate for initial outreach
Where it falls short
- No adaptive AI follow-up questioning — every respondent sees the same static fields
- No per-response quality scoring or automated analysis of open-ended nuance
- No transparent, published methodology for how questions were designed
SurveySparrow
Group Therapy Interest Survey Template for FacilitatorsA conversational-style survey template aimed at facilitators assessing group therapy interest, leveraging SurveySparrow's chat-like UI for a friendlier respondent experience. It's a fixed-path template, so 'conversational' here refers to visual presentation rather than dynamic branching based on answers. Useful for a warmer intake feel but not for probing deeper into individual motivations.
What it does well
- Chat-style presentation may feel less clinical and more approachable to patients
- Purpose-built for facilitators evaluating group therapy demand
- Ready-to-field template requiring minimal setup
Where it falls short
- No true AI-driven adaptive interviewing — the conversational format is presentation, not logic-based probing
- No voice AI interview option or screen-share guided tasks
- No transparent prompt visibility or automated report generation described
Typeform
Group Therapy Booking Form TemplateThis is primarily a booking/scheduling form for enrolling patients into group sessions rather than a pre-launch interest and preference survey, so it serves a different stage of the patient journey. It shares Typeform's clean, one-question-at-a-time interface, which improves completion but doesn't substitute for exploratory research on demand or barriers. Clinics already committed to a group program may find it useful downstream of a survey like this one.
What it does well
- Polished, mobile-friendly one-question-at-a-time interface known for high completion rates
- Purpose-built for the booking/logistics stage rather than open-ended research
- Easy integration with scheduling and calendar tools typical of Typeform's ecosystem
Where it falls short
- Not designed to explore interest levels or barriers — no adaptive follow-up or motivation-probing capability
- No mechanism for surfacing why hesitant patients are hesitant before a program is designed
- No automated quality scoring or synthesized report of qualitative responses
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.
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