Nursing Home Resident Satisfaction Survey

A nursing home resident satisfaction survey is an online form for collecting feedback from residents and family representatives about care quality, safety, dignity, daily support, and overall living experience.

This AidaForm template is designed for nursing homes and skilled nursing facilities that need a clear, respectful way to measure resident satisfaction. It includes an overall satisfaction score, short rating matrices for medical care, daily support, and living environment, plus a separate communication section for family members and representatives.

Use the template as is or adapt it to your facility: edit the questions, adjust required fields, add your logo, customize the design, and publish the form with no coding.