Which treatment did you have?
After your appointment
Collect patient feedback after dental appointments to understand experiences and improve clinic services.
See every questionVideo visit check-in
Prepare patients for telehealth video visits by collecting symptoms, photos, and consent.
Hosted by Anand · 8 questions
Every question in this template
Anand asks each of these questions on video, in this order.
- 01
What is your visit about?
Multiple choice
Anand says: “What's your video visit with the doctor about today?”
A new concern · A follow-up · A prescription refill
- 02
Describe what's going on
Video, voice or text answer
Anand says: “Tell me what's been happening, and when you first noticed it.”
- 03
Is there something the doctor should see?
Yes or no
Anand says: “Is there anything visible, like a rash or swelling, the doctor should see?”
- 04
How will you join the call?
Multiple choice
Anand says: “Which device will you use to join the video call?”
Phone · Tablet · Computer
- 05
Backup phone number
Short answer
Anand says: “If the video drops, what number can the doctor call you on?”
- 06
Consent to a video visit
Consent
Anand says: “Video visits have limits, so please confirm you're comfortable being seen this way.”
- 07
Add a photo
File upload
Anand says: “Please add a clear photo in good light so the doctor can see it.”
- 08
Which medication needs a refill?
Short answer
Anand says: “Which medication do you need refilled, and what dose do you take?”
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Where is the main problem?
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See every questionReady to transform feedback?
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Start collecting real feedback in video. See what your customers actually think and feel.