3 minutes to complete
All employees who handle protected health information (PHI) must complete the HIPAA Employee Training Acknowledgment Form. This includes anyone who works in healthcare, health insurance, or any other entity that deals with PHI. Completion of this form is mandatory to ensure compliance with HIPAA regulations.
Employee name
Employee Title
Employee ID
Date of training.
Do you acknowledge that you have received HIPAA training covering privacy, security, and confidentiality of Protected Health Information (PHI)?
Do you understand your responsibility to protect PHI in all forms (oral, written, electronic)?
Do you agree to follow all organizational policies and procedures regarding HIPAA compliance?
Do you understand that unauthorized access, use, or disclosure of PHI may result in disciplinary action, up to and including termination, as well as potential legal penalties?
I acknowledge that I have completed HIPAA training and understand my responsibilities
Employee Signature
BlockSurvey puts privacy and security above anything else. The use of end-to-end encryption is not a gimmick as in many products; it's a core feature enabling privacy and security. The survey building tools are impeccable. I've used numerous SaaS survey tools, and nothing comes close.
This platform goes far beyond basic surveys. I’ve used it for lead generation, landing page enrichment, and even embedded videos. Everything’s easy to use, well documented, and super flexible—whether you're building forms, quizzes, or something more advanced.
Uses end-to-end encryption technology that allows users to create survey forms where data is secure and private. UI looks very beautiful.
For our NGO, data privacy is everything—and this platform nails it. It keeps personal info fully protected while letting us design beautiful, chat-like surveys that increase engagement. Team collaboration features sealed the deal.
From end-to-end encryption-level security and AI-generated questions to powerful logic flows and white-label domains, BlockSurvey has it all. It’s secure, innovative, and packed with features like calculations, templates, and in-app analytics. I use it to create personalized assessments for leadership training—nothing else compares.
BlockSurvey is very user-friendly with amazing customization options. It makes capturing data simple and secure. While the Web3 space still has room to mature, the platform itself is smooth and intuitive.
Creating surveys with BlockSurvey has been a breeze. The drag-and-drop interface is intuitive, and we’re able to collect data anonymously and securely—without intermediaries. It’s interactive, friendly, and encourages high participation while protecting user privacy. The reports are solid, and we’ve used it confidently for internal and external feedback.
Few tools combine data confidentiality and form aesthetics like this one. The conversational design improved my response rate by 43%, and the webhook integrations made syncing to our CRM effortless. I also love how responsive and community-driven the support team is.
I think BlockSurvey is good for short and long surveys. What I find the best is the fact that there are so many templates I can use and customize.
