Telehealth Feedback
Feedback from your patients on the video consultation – from technology and clarity to the sense of data protection and trust.
Video consultations have become part of everyday life in many practices and clinics. This template captures how patients experience the digital consultation – from usability and audio and video quality to trust in the consultation and data protection. This helps you identify both technical hurdles and questions of acceptance.
When should you use this template?
This template is a great fit for:
- Right after a video consultation
- When introducing or expanding telehealth services
- For regular quality assurance of digital consultations
Every question in this template
- 1Rating
How easy was the video consultation to use for you? *
- 2Matrix
How would you rate the following aspects of the video consultation?
Very poor Poor Average Good Very good Audio quality Video quality Clarity of the consultation Trust in the treatment Sense of data protection - 3Single choice
Would you use the video consultation again?
- Yes, definitely
- Probably yes
- Probably not
- Definitely not
- 4Single choice
What do you prefer for comparable concerns?
- Video consultation
- In-person appointment on site
- Depends on the concern
- No preference
- 5Long text
What should we improve about the video consultation?
Related survey templates
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- Healthcare Staff SurveyAnonymous survey of nursing and practice staff on workload, appreciation and wellbeing in your practice or clinic.
- Patient Survey (PREM)Anonymous assessment of your patients' care experience based on Patient-Reported Experience Measures (PREM).
- Citizen Survey for MunicipalitiesAnonymous citizen survey on satisfaction with municipal services and local quality of life – a sound basis for decisions in the council and administration.
Frequently asked questions
Which telehealth services is the template suitable for?
Does it also cover data protection and trust?
Is the survey anonymous?
Start with this template
Load the template into DataLion, adapt it to your brand and start collecting responses — GDPR-compliant, in minutes.