Products

SurveyMonkey is built to handle every use case and need. Explore our product to learn how SurveyMonkey can work for you.

Get data-driven insights from a global leader in online surveys.

Explore core features and advanced tools in one powerful platform.

Build and customize online forms to collect info and payments.

Integrate with 100+ apps and plug-ins to get more done.

Purpose-built solutions for all of your market research needs.

Create better surveys and spot insights quickly with built-in AI.

Templates

Measure customer satisfaction and loyalty for your business.

Learn what makes customers happy and turn them into advocates.

Get actionable insights to improve the user experience.

Collect contact information from prospects, invitees, and more.

Easily collect and track RSVPs for your next event.

Find out what attendees want so that you can improve your next event.

Uncover insights to boost engagement and drive better results.

Get feedback from your attendees so you can run better meetings.

Use peer feedback to help improve employee performance.

Create better courses and improve teaching methods.

Learn how students rate the course material and its presentation.

Find out what your customers think about your new product ideas.

Resources

Best practices for using surveys and survey data

Our blog about surveys, tips for business, and more.

Tutorials and how to guides for using SurveyMonkey.

How top brands drive growth with SurveyMonkey.

Contact SalesLog in
Contact SalesLog in

Patient Intake Form Template

SurveyMonkey is rated 4.5 out of 5 from 18,000+ reviews on G2.com

Patient intake forms can be extensive, time-consuming, and even overwhelming for patients to complete, especially when filling them out in the clinic. However, accurate and complete information is critical to providing quality care.

That’s why an online patient intake form can be so effective. You can craft the form to capture all of the details you need from your patients, and allow them to submit their information from the comfort of their own homes.

Use our patient intake form template to efficiently collect patient medical histories, vaccination records, allergies, emergency contact information, and more. Plus, the intuitive SurveyMonkey form builder allows you to adapt the form to your practice's needs while incorporating branding elements for a professional touch.

We have so many powerful features to help you launch surveys quickly, but here are our most popular ones for new users.

Out-of-the-box themes, accessible color palettes, custom fonts, branding, and more.

Collect survey responses via email, website, SMS, social media, QR codes, offline, and more.

Automatic results summaries, filters, custom dashboards, crosstab reports, text analysis, & more.

Flower shop owner looking at his phone, next to a review showing 5 out of 5 stars

Read about our customers, explore webinars, and get guides on collecting feedback in your industry.

Woman reading research blog posts on a tablet, next to four blue and green bar charts

Get tips on how to create better surveys, hear the latest product news, or check out our research.

Man wearing headphones and using a laptop, next to an image of SurveyMonkey's logo

Access tutorials on how features work, learn more about billing, and contact Customer Support.

Mannlig lege som ser gjennom resultatene etter en helseundersøkelse

Healthcare leaders can use this toolkit to help better understand the patient and employee experience.

En mann og en kvinne som ser på en artikkel på en laptop og skriver ned informasjon på gule lapper

Discover how Carrot relies on SurveyMonkey for HIPAA-compliant surveys, improved data collection, and better clinical outcomes.

Smilende mann med briller som bruker en laptop

How do surveys and forms differ? Learn how to combine form data with survey feedback for seamless events and experiences.

Kvinne som ser over informasjon på laptopen sin

An efficient patient registration process makes onboarding easy and saves time. But what do you need to collect, and how? We can help.