Asthma Action Plan Form — shared by the community
Rachel O. shared this 17-question build with 3 conditional rules already wired up. Test it below, then take a copy.
A ready-to-use education & schools form for schools, tutors and course providers: 17 questions, 2 pages, 3 conditional rules.
- Shared by
- Rachel O. · Events coordinator
- Questions
- 17
- Replies
- 7
- Copies taken
- 204
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Live preview and test console
This is the real form. Answer it to test the 2 conditional rules — nothing is sent or stored.
Page 1 of 2 — Student and asthma details
Every question on this page is currently visible.
Works for you? Take Rachel O.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Asthma Action Plan Form is built for schools, tutors and course providers who need to enrol people and record permissions in one place.
- Schools, tutors and course providers working in education & schools.
- Teams who need to enrol people and record permissions in one place without writing code or paying for a custom build.
- Anyone replacing consent forms chased on paper the week before term with one structured record per enquiry.
- Respondents are students, parents and staff — the form asks them 17 questions across 2 screens.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of consent forms chased on paper the week before term and turns each submission into a record your team can act on immediately.
- 7 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It captures a phone number for urgent follow-up.
- It accepts a document or photo upload as evidence.
- It records a signature you can keep as proof of agreement.
- It pins the request to a specific date.
- It allows multiple selections without free text.
- Conditional logic hides 3 questions until they are relevant — shorter forms convert better than long ones.
- Splitting the form across 2 pages keeps each screen short and shows respondents how much is left.
How to use this template
From copy to live form is a few minutes of work, and every step is reversible.
- 1Press “Use this template” — a fresh copy of Asthma Action Plan Form lands in your workspace, ready to edit.
- 2Rename or delete any question, and change what is required. Nothing here is fixed.
- 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
- 4Check the upload limits on the file question so respondents can attach what you actually need.
- 5Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
- 6Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.
Logic and conditions blueprint
Exactly how this form behaves as it is answered — 3 conditional rules ship with it.
- Features advanced show logic: if “Does the student carry their own inhaler?” is No, it is kept at the office, the form dynamically exposes “Where the inhaler is stored”. Otherwise that question never appears.
- Features conditional validation: if “Has the student had a severe asthma episode before?” is Yes, “Describe the severe episode” becomes mandatory before the form can be sent.
- Features conditional hiding: if “Do you have a signed action plan from a doctor?” is No, not yet, “Upload signed asthma action plan” is removed from the form and is never submitted.
- All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
What this form asks
Page 1 — Student and asthma details
- Student's full namerequired
- Student's date of birth
- Grade or classroom
- Parent or guardian namerequired
- Parent or guardian phone number
- Known asthma triggers
- Typical early warning signs
- Has the student had a severe asthma episode before?required
- Describe the severe episode
Page 2 — Medication and plan on file
- Does the student carry their own inhaler?required
- Where the inhaler is stored
- Daily control medication, if any
- Rescue medication and dose during a flare-uprequired
- Do you have a signed action plan from a doctor?required
- Upload signed asthma action plan
- Prescribing doctor's phone number
- Parent or guardian signaturerequired
Conditional logic in this build
- When “Does the student carry their own inhaler?” is No, it is kept at the office, show “Where the inhaler is stored”.
- When “Has the student had a severe asthma episode before?” is Yes, require “Describe the severe episode”.
- When “Do you have a signed action plan from a doctor?” is No, not yet, hide “Upload signed asthma action plan”.
Questions about this shared form
Does this form replace the doctor's written plan?
No. It organizes the same information for school staff and attaches the signed plan as a file, but the doctor's document remains the authoritative source.
Should we collect this alongside the Allergy Action Plan Form?
Yes, if a student has both conditions, use both forms — asthma and allergy triggers and responses are different enough to need separate detail.
Who should be able to view submitted plans?
Limit access to the nurse's office and the student's core teaching team, since this is sensitive health information.
What if a family hasn't seen a doctor yet?
Let them submit without the signed plan and follow up before the action plan is treated as complete, since the form still needs a verified medication and dose.
Is the Asthma Action Plan Form template free to use?
Yes. You can preview and test Asthma Action Plan Form on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.
What does the Asthma Action Plan Form template ask for?
It asks 17 questions across 2 pages, 7 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.
Can I edit the Asthma Action Plan Form form after copying it?
Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.
How does the conditional logic in this education & schools form work?
3 conditional rules ship with the template: Features advanced show logic: if “Does the student carry their own inhaler?” is No, it is kept at the office, the form dynamically exposes “Where the inhaler is stored”. Otherwise that question never appears. Features conditional validation: if “Has the student had a severe asthma episode before?” is Yes, “Describe the severe episode” becomes mandatory before the form can be sent. Features conditional hiding: if “Do you have a signed action plan from a doctor?” is No, not yet, “Upload signed asthma action plan” is removed from the form and is never submitted. All rules are editable in the Logic tab.
Where do responses to the Asthma Action Plan Form form go?
Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.
Can I embed the Asthma Action Plan Form form on my own website?
Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.
Can respondents upload files?
Yes. This template includes a file upload question, so respondents can attach documents or photos with their answers. You can adjust the accepted file types and size limits on that question.
Is the signature on this form legally usable?
The template captures a drawn signature and stores it with the submission, along with the timestamp, so you keep evidence of who agreed and when. Whether that is sufficient depends on your jurisdiction and the agreement itself.
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