Building Spectacular Surveys: Example Questions

Follow

Got a little bit of writer's block when it comes to Surveys? Below are some great starter questions you can use to get your patients' feedback and have them engaged in your Rewards Hub.

 

Survey Starter Pack

"Choose your Response" Surveys
Great for getting quick, precise feedback on particular areas of interest, these kinds of surveys generally inspire higher response rates since they can be answered in just a few seconds. Just be sure to let patients who they can contact if they'd like to provide a more detailed response! 

  1. The American Association of Orthodontics recommends that a child's first visit to the orthodontist take place at what age?
      1. 7
      2. 12
      3. 14
      4. 10

  2. How many friends do you have that come to our office?
      1. 1-2
      2. 3-4
      3. 5+
      4. Everyone I know comes here for great care!

  3. How do you rate our office in terms of overall service, friendliness, comfort, fun and treatment results?
      1. Extremely satisfied! Keep up the great job
      2. Satisfied - It’s going well
      3. Would like to see improvement

  4. How did you hear about our office?
      1. Referral from a Friend
      2. Dental Referral
      3. Advertisement
      4. Internet Search, Other

  5. How far do you live from our office?
      1. 1-2 miles
      2. 3-4 miles
      3. 5-10 miles
      4. 10+ miles

  6. When deciding which orthodontic practice to use, what was the most important?
      1. Location
      2. Price
      3. Results
      4. Doctor/Staff Relationship

  7. Do you always smile for a picture?
      1. Of course!
      2. Depends on how I’m feeling
      3. I’m not actually sure…

"Provide your Response" Surveys
Open-ended surveys like the ones below allow your patients to provide you with detailed feedback, personal insights, stories, and more. Because they involve more time and consideration than multiple choice surveys, though, they may work better with patients ages 12 and up.

  1. What is your favorite summer activity?
  2. What do you like most about our practice?
  3. Do you have a Facebook page? If so, have you liked us yet? (It’s really easy: just go the Earn Points section in your Hub, LIKE us, and get free points!)
  4. What is your favorite part of visiting the office?
  5. What kind of fun theme weeks would you like to see?
  6. What type of prizes make you excited to enter our contests?
  7. Can you name all our assistants in the back?
  8. In what year did Dr. _____ start his/her practice?
  9. If you wear braces, how long should you be brushing your each time your brush?
  10. It feels like spring outside, and baseball season is starting up soon. Which is your favorite team?
  11. What is your favorite holiday?
  12. Are you happy to be back at school? What’s your favorite subject?
  13. What type of (Hub) contests do you like participating in most?
  14. Summer is coming quick... What would your dream vacation be?
  15. If you were a Ben and Jerry's ice-cream flavor, what would it be?
  16. What is your favorite Ice Cream Flavor?
  17. Which charitable organization do you think we should contribute to?
  18. What is everyone's favorite past time?
  19. Who do you think will win the Superbowl next?
  20. What is your favorite part of the holidays?
  21. If you could only get 1 gift this holiday season, what would it be?
  22. We are coming to the end of another year. What was your favorite song this year?
  23. What was your favorite thing you did this year?
  24. Have you downloaded the Patient Rewards Hub Mobile App? It's easy, just go to the App Store or the Google Play Store and search for the Patient Rewards Hub. Once you login, you'll have easy access to the contests, messages, and Rewards!
  25. What color would you like our next patient t-shirt to be?
  26. In what way do you think we could improve our services?
  27. Before having braces, I was...
  28. Do you always smile for a picture?
  29. What is the first thing you plan to eat once you get your braces off?
  30. What are your favorite color ties for your braces?
  31. What will be the first candy you eat once your braces are removed?
  32. If you had a pizza party, what toppings would you put on the pizzas?
  33. Which of our awesome team member do you want to give a shout out to?
  34. Who is your favorite superhero?
  35. What is the one thing that you wish our office had?
  36. What color should our next t-shirt color be?
  37. Tell us what you think of our Patient Rewards Hub?
  38. How much of your tooth surface do you miss cleaning if you don't floss after brushing?
  39. Did you know that you could get an additional 250 reward points when you refer a friend or family member?
  40. What word do you think best describes our office?
  41. Would you rather eat Macaroni & Cheese with a fork or a spoon?
  42. Shark Week begins on August 4! How many teeth can sharks have over their lifetime?
  43. What animal have the most teeth?
  44. How many staff members can you name?
  45. How rad is your Dad? Tell us a short story of something rad your dad has done.
  46. I love my mom because.....
  47. Which type of appointment reminder do you prefer?
  48. How wide is the Statue of Liberty's mouth?
  49. What type of pets do you have at home?
  50. Which team member has worked at our office the longest?
  51. What is your favorite place in the world to visit?
  52. A giraffe's teeth can grow up to how many inches?
  53. What made you choose to come to our office?
  54. How do you like the Patient Rewards Hub mobile app?
Was this article helpful?
0 out of 0 found this helpful
Have more questions? Submit a request
Powered by Zendesk