Use our readymade template to create your Satisfaction with Life Scale (SWLS) assessment tool
Create your care assessments
| SWLS score | Life Satisfaction |
|---|---|
| 31-35 | Extremely satisfied |
| 26-30 | Satisfied |
| 21-25 | Slightly satisfied |
| 20 | Neutral |
| 15-19 | Slightly dissatisfied |
| 10-14 | Dissatisfied |
| 5-9 | Extremely dissatisfied |
- Prebuilt template with SWLS scoring to assess the patient's satisfaction with life
- 5-item questionnaire that scores each item from “1” (strongly disagree) to “7” (strongly agree)
- Real-time calculation of SWLS Score and life satisfaction based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of life satisfaction
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| In most ways my life is close to my ideal. | Agree |
| The conditions of my life are excellent. | Strongly agree |
| I am satisfied with my life. | Slightly agree |
| So far I have gotten the important things I want in life | Neither agree nor disagree |
| If I could live my life over, I would change almost nothing | Disagree |
| SWLS Score | 24 |
| Life Satisfaction | Slightly satisfied |
- Pre-populate patient details such as patient id, name, email etc in the SWLS assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their SWLS assessment form prior to their visit
- Allow patients to save their progress and complete their SWLS assessment form at a later time without losing any responses
- Set up an email template for your SWLS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their SWLS score, life satisfaction, next steps when they submit their SWLS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | In most ways my life is close to my ideal. | Agree | 6 | 24 |
| 3 | John W | The conditions of my life are excellent. | Strongly agree | 7 | 24 |
| 4 | John W | I am satisfied with my life. | Slightly agree | 5 | 24 |
| 5 | John W | So far I have gotten the important things I want in life | Neither agree nor disagree | 4 | 24 |
| 6 | John W | If I could live my life over, I would change almost nothing | Disagree | 2 | 24 |
- Export patient responses including the calculated SWLS score and life satisfaction to Google Sheets for easy record-keeping
- Export individual points for 5 items to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their life satisfaction
- Receive a copy of the response and the calculated SWLS score by email whenever a patient submits their SWLS assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| In most ways my life is close to my ideal. : | Agree |
| The conditions of my life are excellent.: | Strongly agree |
| I am satisfied with my life.: | Slightly agree |
| So far I have gotten the important things I want in life: | Neither agree nor disagree |
| If I could live my life over, I would change almost nothing: | Disagree |
| SWLS Score: | 24 |
| Life Satisfaction: | Slightly satisfied |
| SWLS Score: | 24 |
| Life Satisfaction: | Slightly satisfied |
- Create a HIPAA compliant SWLS assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting SWLS form responses to Google Sheets and sending them on email
- Prepopulate patient details in SWLS assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 27, 2023
I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!
— Royal Bush
July 23, 2023
I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!
— Sol Evans
February 16, 2024
Does not work
— Myles Sicuro
October 31, 2023
We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!
— Chris Henesy
July 12, 2023
It very friendly to used. I love it. For my case multiple signature needed. it's supporting
— Senthil Kumar
November 27, 2023
Yeah this is good for all
— luqman khan
July 10, 2023
We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.
— Joan S