Healthcare & Clinical · community shared

Quick Clinic Feedback — shared by the community

Marta K. shared this 10-question build with 3 conditional rules already wired up. Test it below, then take a copy.

A ready-to-use healthcare & clinical form for small teams who need a reliable intake process: 10 questions, 1 page, 3 conditional rules.

Shared by
Marta K. · Practice manager
Questions
10
Replies
13
Copies taken
182
See the library version

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Live preview and test console

This is the real form. Answer it to test the 1 conditional rule — nothing is sent or stored.

How was your appointment?

Was booking straightforward?
Was the wait what you expected?
Did you feel listened to?
Did you leave knowing what happens next?
Would you like someone to contact you about this?

This form does not provide medical advice, diagnosis or treatment. Information you share here is not a substitute for care from a qualified clinician. In an emergency, contact your local emergency service immediately.

1 question is hidden by conditional logic right now — change an answer above to reveal it.

Works for you? Take Marta K.'s copy into your own workspace — questions, rules and settings included.

Who this template is for

Quick Clinic Feedback is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.

  • Small teams who need a reliable intake process working in healthcare & clinical.
  • Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
  • Anyone replacing chasing missing details over email with one structured record per enquiry.
  • Respondents are the people you send it to — the form asks them 10 questions across 1 screen.
  • Mobile-heavy audiences, thanks to the one-question-per-screen card layout.

Why this form is useful

It removes the cost of chasing missing details over email and turns each submission into a record your team can act on immediately.

  • 6 questions are required, so submissions arrive complete instead of needing a follow-up email.
  • It pins the request to a specific date.
  • Conditional logic hides 3 questions until they are relevant — shorter forms convert better than long ones.
  • Every response is stored, searchable and exportable, so nothing depends on one person's inbox.

How to use this template

From copy to live form is a few minutes of work, and every step is reversible.

  1. 1Press “Use this template” — a fresh copy of Quick Clinic Feedback lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
  4. 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
  5. 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.

Logic and conditions blueprint

Exactly how this form behaves as it is answered — 3 conditional rules ship with it.

  • Features conditional validation: if “Would you like someone to contact you about this?” is Yes, “Contact details” becomes mandatory before the form can be sent.
  • Features conditional validation: if “Did you leave knowing what happens next?” is No, “What was unclear?” becomes mandatory before the form can be sent.
  • Features advanced show logic: if “Was the wait what you expected?” is Much longer than expected, the form dynamically exposes “Roughly how long did you wait?”. Otherwise that question never appears.
  • All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.

What this form asks

Your visit

  • Date of your visitrequired
  • Was booking straightforward?required
  • Was the wait what you expected?required
  • Roughly how long did you wait?
  • Did you feel listened to?required
  • Did you leave knowing what happens next?required
  • What was unclear?
  • One thing we could do better
  • Would you like someone to contact you about this?required
  • Contact details

Conditional logic in this build

  • WhenWould you like someone to contact you about this?is Yes, requireContact details”.
  • WhenDid you leave knowing what happens next?is No, requireWhat was unclear?”.
  • WhenWas the wait what you expected?is Much longer than expected, showRoughly how long did you wait?”.

Questions about this shared form

How is this different from the Patient Satisfaction Form?

That one is the fuller survey for a periodic review, with more detail on facilities and staff. This is the short, after-every-visit version designed to keep completion high.

Can it stay anonymous?

Yes. The only identifying question is the optional contact field, which appears when a patient asks to be contacted; leave it out and nothing ties the answer to a record.

Where should the link go?

In the appointment follow-up message, and on a card at reception for patients who do not use email. Both routes feed the same responses.

Should complaints come through here?

Formal complaints need your own documented process; point at it in the intro so a serious concern is never left sitting in a feedback list.

Is the Quick Clinic Feedback template free to use?

Yes. You can preview and test Quick Clinic Feedback on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.

What does the Quick Clinic Feedback template ask for?

It asks 10 questions across 1 page, 6 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.

Can I edit the Quick Clinic Feedback form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this healthcare & clinical form work?

3 conditional rules ship with the template: Features conditional validation: if “Would you like someone to contact you about this?” is Yes, “Contact details” becomes mandatory before the form can be sent. Features conditional validation: if “Did you leave knowing what happens next?” is No, “What was unclear?” becomes mandatory before the form can be sent. Features advanced show logic: if “Was the wait what you expected?” is Much longer than expected, the form dynamically exposes “Roughly how long did you wait?”. Otherwise that question never appears. All rules are editable in the Logic tab.

Where do responses to the Quick Clinic Feedback form go?

Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.

Can I embed the Quick Clinic Feedback form on my own website?

Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.