Telehealth usability feedback questionnaire template helps healthcare providers collect patient feedback on telehealth services to improve user experience, accessibility, and technical performance.

This free template contains focused questions about ease of use, video and audio quality, whether patients encountered technical issues, a text field to describe problems, likelihood to recommend, and suggestions for new or improved features. It pairs ratings with open responses for richer insight.

Use it in hospitals, clinics, outpatient practices, telehealth platforms, or follow-up surveys to evaluate virtual visit quality, troubleshoot recurring issues, and prioritize platform improvements based on real patient input. Use results to guide training and updates. Use it for pre-appointment checks and post-visit follow-ups to monitor trends regularly.

Click "Use This Template" to customize fields, add routing or privacy notices, and begin collecting structured, actionable telehealth usability feedback from patients. Export responses or integrate with EHRs to act fast, easily, securely, and anonymously now.