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Patient Satisfaction Survey Template for Aesthetic Practices
A patient satisfaction survey for an aesthetic practice asks about booking and reception, the consultation and treatment, results and aftercare, the practice itself, and the overall experience, ending with a 0 to 10 recommend question you can score as a Net Promoter Score. Choose from the 24 questions below, add your practice name, then copy the survey into your survey tool or print it. Score the recommend question at the bottom.
Prepared by Prospyr · Reviewed October 28, 2026 · Free, no sign-up, runs in your browser
Your question choices are kept in the page address so you can bookmark or share them. The practice name stays in your browser.
Your survey (24 questions)
Patient survey: our practice
Thank you for visiting our practice. Please take a moment to answer 24 short questions about your visit. Your answers help us improve, and you can skip any question.
BOOKING AND RECEPTION
1. How easy was it to book your appointment? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
2. Were you seen at your appointment time? [ ] On time [ ] Within 15 minutes [ ] More than 15 minutes late
3. How would you rate the welcome from our reception team? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
4. Did you receive your forms early enough to complete them before your visit? [ ] Yes [ ] No [ ] I did not receive any forms
5. Was the price clear to you before your treatment started? [ ] Yes [ ] Partly [ ] No
YOUR CONSULTATION AND TREATMENT
6. How well did your provider listen to what you wanted? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
7. Before treatment, did your provider explain what would happen and what to expect afterward? [ ] Yes [ ] Partly [ ] No
8. Did you have enough time to ask your questions? [ ] Yes [ ] No
9. How comfortable did you feel during your treatment? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
10. Did you feel pressure to buy more treatments or products than you wanted? [ ] No [ ] A little [ ] Yes
11. How much confidence do you have in your provider? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
RESULTS AND AFTERCARE
12. Were your aftercare instructions clear? [ ] Yes [ ] Partly [ ] No [ ] I did not receive any
13. Did we follow up with you after your treatment when we said we would? [ ] Yes [ ] No [ ] No follow-up was planned
14. How satisfied are you with your results so far? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent [ ] Too early to tell
15. If you contacted us after your visit, how easy was it to reach someone? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent [ ] I did not need to
OUR PRACTICE
16. How would you rate the cleanliness and comfort of our practice? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
17. Did you feel your privacy was respected during your visit? [ ] Yes [ ] No
18. How easy was it to get to us and park? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
19. How would you rate the value of your treatment for what you paid? [ ] 1 Poor [ ] 2 Fair [ ] 3 Good [ ] 4 Very good [ ] 5 Excellent
OVERALL
20. On a scale of 0 to 10, how likely are you to recommend us to a friend or family member? [ ] 0 [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 [ ] 6 [ ] 7 [ ] 8 [ ] 9 [ ] 10 (0 = not at all likely, 10 = extremely likely)
21. How likely are you to book with us again? [ ] Very likely [ ] Likely [ ] Not sure [ ] Unlikely
22. What did we do well? ____________________________________________
23. What is one thing we could do better? ____________________________________________
24. Is there a treatment or service you wish we offered? ____________________________________________
Thank you. If you would like us to contact you about your answers, please leave your name and the best way to reach you: ____________________
Paste the text into your survey tool or print it for the front desk. Answers tied to a named patient are patient information; handle them with the same care as the chart.
Score your Net Promoter Score
Count the answers to the 0 to 10 question. The counts already filled in are placeholders, not benchmarks.
Net Promoter Score
58.3
Promoters
70%
Passives
18.3%
Detractors
11.7%
With 60 responses, one promoter becoming a detractor moves the score by 3.3 points. Read it alongside the written comments.
Want to see and answer reviews as they come in? See Google and RealSelf reviews in one place, with replies sent from Prospyr →
How to run the survey
- Choose your questions. Start with the overall section, then add the sections you want to act on this quarter.
- Send it the same way to every patient. Use the same timing and channel for everyone, so the results compare from month to month.
- Read every written answer. The open questions tell you why a score moved. Assign each complaint to a person to follow up.
- Score the recommend question monthly or quarterly with the calculator above, and compare against your own last result.
Survey answers tied to a named patient and their treatment are patient information. Keep them with the same care as the chart, and ask your privacy officer whether your survey tool needs a business associate agreement before treatment details go into it.
Related tools
See how many patients come back with the patient retention calculator, plan review requests with the Google review calculator, and put a dollar value on a returning patient with the patient lifetime value calculator.
Frequently asked questions
What questions should a med spa patient survey ask?
Ask about each step the patient went through: how easy booking was, whether they were seen on time, whether the provider listened and explained what to expect, whether they felt pressure to buy, whether aftercare was clear, how satisfied they are with results so far, and how likely they are to recommend you and come back. End with two open questions: what went well and one thing to do better.
How many questions should the survey have?
As few as answer what you need to know. Every question you add is one more reason for a patient to stop partway. Pick the sections that match a decision you are actually trying to make, and remove the rest.
How is Net Promoter Score calculated?
Ask how likely the patient is to recommend you on a 0 to 10 scale. Answers of 9 or 10 are promoters, 7 or 8 are passives and 0 to 6 are detractors. The score is the percent who are promoters minus the percent who are detractors, so it runs from −100 to 100.
When should I send the survey?
Ask about booking, reception and the visit soon after the appointment, while it is fresh. Ask about results once enough time has passed for the patient to see them, which depends on the treatment; the results question includes a “too early to tell” answer for that reason.
Can I send only happy patients to leave a review?
Be careful. The FTC's 2024 rule on consumer reviews bars incentives conditioned on a review's sentiment, and bars presenting the reviews on your own site as all or most of the reviews when negative ones were suppressed. Ask every patient the same way, and have your attorney review any review-request process.
Does this page show average satisfaction scores for med spas?
No. We do not have survey data to publish, so this page gives you the questions and the scoring math, not benchmarks. The best comparison is your own score from one quarter to the next.
Sources and scope
- Bain & Company, Net Promoter System: Measuring your Net Promoter Score
The 0 to 10 recommend question; promoters 9–10, passives 7–8, detractors 0–6; score = % promoters − % detractors.
- FTC: Final rule banning fake reviews and testimonials (August 2024)
Bars incentives conditioned on a review's sentiment, and misrepresenting site reviews as all or most reviews when negative ones were suppressed.
A question template and scoring math, not survey data or benchmarks. The NPS counts already filled in are placeholders. Not legal advice; review patient-communication and review-request processes with your attorney.