EMR survey template

An EMR (Electronic Medical Records) survey template is a predesigned tool used by healthcare organizations to collect data related to the usage, efficiency, and effectiveness of their electronic record systems. These templates often include questions related to ease of use, data accessibility, system integration, patient satisfaction, and the overall impact on healthcare delivery. The feedback gathered through the survey helps in identifying the areas of improvement, facilitating better decision-making, and enhancing patient care. The template can be easily customized to fit the unique needs of a particular healthcare institution.

3 minutes to complete


The general eligibility to complete the EMR (Electronic Medical Records) survey template requires the participant to be a healthcare professional or staff who utilizes EMR systems within a healthcare organization, clinic, or hospital. Knowledge and experience with the operation of EMR systems is necessary.

Questions for EMR survey template

Instructions to use EMR survey template

  • Open the EMR survey template.
  • Begin by entering your personal information in the required fields.
  • Proceed to answer all the questions related to your Electronic Medical Records (EMR) usage.
  • Make sure to provide detailed responses where necessary.
  • Once done, review your inputs for accuracy.
  • If satisfied, click on 'submit' to send your completed survey.
  • Save a copy of your responses, if needed.



How long have you been using the current EMR system?

The answer should be a single choice:
  1. Less than 6 months
  2. 6 months to 1 year
  3. 1-2 years
  4. 2-5 years
  5. More than 5 years

How often do you use the EMR system in your daily work?

The answer should be a single choice:
  1. Everyday
  2. Several times a week
  3. Once a week
  4. Several times a month
  5. Once a month
  6. Less than once a month
  7. Never

How would you rate the ease of use of the EMR system?

The answer should be a rating.

What features of the EMR system do you use most frequently?

The answer should be a multiple choice:
  1. Patient scheduling
  2. Medical billing
  3. Clinical charting
  4. Prescription writing
  5. Patient portal
  6. Lab integration
  7. Radiology integration
  8. E-prescribing
  9. Telemedicine
  10. Reporting and analytics

Are there any features that you find unnecessary or rarely use in the EMR system?

The answer should be a text input.

Have you encountered any technical issues while using the EMR system?

The answer should be a single choice:
  1. Yes, I have encountered technical issues
  2. No, I have not encountered any technical issues

How would you rate the customer support for the EMR system?

The answer should be a rating.

How has the EMR system impacted your productivity?

The answer should be a single choice:
  1. The EMR system has significantly improved my productivity
  2. The EMR system has slightly improved my productivity
  3. There has been no change in my productivity after using the EMR system
  4. The EMR system has slightly decreased my productivity
  5. The EMR system has significantly decreased my productivity

What improvements would you suggest for the EMR system?

The answer should be a text input.

Would you recommend this EMR system to other healthcare professionals?

The answer should be a single choice:
  1. Yes, I would recommend it
  2. No, I wouldn't recommend it

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Here are some FAQs and additional information
EMR survey template

What is an EMR survey template?

An EMR (Electronic Medical Record) survey template is a pre-designed tool used to gather information about the use, effectiveness, and satisfaction of an electronic medical record system within a healthcare setting.

Do I need any special expertise to use the EMR survey template?

While having a basic understanding of EMR systems is beneficial, the template is designed to be user-friendly and can be used by various stakeholders in a healthcare setting, including administrators, doctors, nurses, and IT staff.

How can the data collected from the EMR survey template be used?

Data collected from the EMR survey template can be used to identify areas of improvement, assess user satisfaction, guide training efforts, and inform decision-making related to the selection and implementation of EMR systems.

Does the EMR survey template comply with privacy regulations?

Yes, the EMR survey template is designed to comply with privacy regulations. It does not collect personal health information of patients but focuses on the user experience of the EMR system.

How often should I use the EMR survey template?

The frequency of use depends on your specific needs. However, it's generally recommended to use the template annually or whenever major changes are implemented in your EMR system to monitor its effectiveness and user satisfaction.

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