Health Survey Template

Available on the Free Plan

Collect health information by using our health survey form template. Patients can fill it in in-person or online in a secure environment.

About this template

The health survey form template is used to collect health information by medical professionals. Our form is ideal for small medical practices or even healthcare professionals working in a large organization! Our prebuilt template can be easily customized to match your needs. You can also enable HIPAA compliance on this survey form on 123FormBuilder. With our simple drag-and-drop survey tool you can make any layout changes. No programming skills are needed! When you’re done, publish the form and have your patients fill it in in-person or online in a secure and compliant digital environment.

Frequently Asked Questions

How do I create a health survey?

You can start with our health questionnaire template. Adapt this form template into an insightful survey about health that enhances patient care. After setting up your initial health survey questions, you can even clone the first form to serve other health fields, such as an oral health survey or family health survey.

What questions should I ask in a health survey?

It would help if you started with general questions like gender, age, and weight. Depending on the purpose of the survey, you can collect all the data you need about the patient’s exercise or sleeping schedule and any other questions that help with the medical investigation.

How to customize the template?

The above health questionnaire example is waiting for your personal touch. Go ahead and adopt this form template into an insightful survey about health that enhances patient care. Users in over 185 countries trust 123FormBuilder to build reliable, flexible forms with no need for programming skills. Once you set up your initial health survey questions, you can clone the first form to serve other specialties, such as an oral health survey, a family health survey, or a public health survey.

How to publish the template?

123FormBuilder’s web forms are mobile-friendly and look great on any device. Instantly publish your hospital survey to your website with nothing more than a copy/paste. If social media is part of your healthcare survey research methods, share your world health survey in multiple languages on Facebook, Twitter, and more!

How to collect and manage data?

The simplicity of implementing 123FormBuilder as your health survey provider masks the advanced security and features it offers. Submissions are stored in a database and can be exported to CSV, PDF, and Excel. Or you can create and share graphs and reports that help facilitate discussions of trends revealed by an annual health survey.

How to optimize processes?

Collaboration has never been easier. Let’s say you’re working on a health insurance survey. You can have submissions notify team members at both the insurance company and the healthcare provider in real-time. The health survey results can even be sent to a file-sharing platform such as Dropbox or Google Drive.

More templates like this