Health Screening Questionnaire — shared by the community
Dev A. shared this 8-question build with 2 conditional rules already wired up. Test it below, then take a copy.
A ready-to-use fitness, wellness & coaching form for clinics, coaches and therapists: 8 questions, 1 page, 2 conditional rules.
- Shared by
- Dev A. · Freelance consultant
- Questions
- 8
- Replies
- 6
- Copies taken
- 703
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Live preview and test console
This is the real form. Answer it to test the flow — nothing is sent or stored.
This template runs as a straight sequence — no branching rules.
Works for you? Take Dev A.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Health Screening Questionnaire is built for clinics, coaches and therapists who need to collect intake detail and consent before the first session.
- Clinics, coaches and therapists working in fitness, wellness & coaching.
- Teams who need to collect intake detail and consent before the first session without writing code or paying for a custom build.
- Anyone replacing paperwork eating the start of every appointment with one structured record per enquiry.
- Respondents are clients and patients — the form asks them 8 questions across 1 screen.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of paperwork eating the start of every appointment and turns each submission into a record your team can act on immediately.
- 5 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It pins the request to a specific date.
- Conditional logic hides 2 questions until they are relevant — shorter forms convert better than long ones.
- Every response is stored, searchable and exportable, so nothing depends on one person's inbox.
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 Health Screening Questionnaire 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.
- 4Publish 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.
- 5Watch 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 — 2 conditional rules ship with it.
- Features advanced show logic: if “Any 'yes' answer on this form” is Yes, the form dynamically exposes “Please briefly describe”. Otherwise that question never appears.
- Features advanced show logic: if “Any 'yes' answer on this form” is Yes, the form dynamically exposes “This response will be flagged for staff review before you proceed.”. Otherwise that question never appears.
- All 2 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
What this form asks
Quick health check
- Full namerequired
- Date
- Have you experienced chest pain or discomfort in the last 7 days?required
- Have you felt dizzy or fainted recently?required
- Do you currently have a fever, cough or other signs of illness?required
- Have you had a recent injury or surgery?required
- Please briefly describe
- Anything else we should know?
Conditional logic in this build
- When “Any 'yes' answer on this form” is Yes, show “Please briefly describe”.
- When “Any 'yes' answer on this form” is Yes, show “This response will be flagged for staff review before you proceed.”.
Questions about this shared form
Is this a medical diagnosis tool?
No — it's a quick flag-and-review screening step, not a diagnosis or substitute for a doctor's assessment.
Can I use this before every gym class?
Yes, that's a common use — many studios run this at check-in for new or infrequent attendees, or seasonally for regulars.
What should staff do with a flagged response?
Have a brief conversation with the person, note the outcome, and decide together whether to proceed, modify the activity, or suggest they see a doctor first.
Should I keep completed forms on file?
Yes, keep a record of flagged responses in case you need to refer back to them, following your organization's data retention practices.
Is the Health Screening Questionnaire template free to use?
Yes. You can preview and test Health Screening Questionnaire 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 Health Screening Questionnaire template ask for?
It asks 8 questions across 1 page, 5 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 Health Screening Questionnaire 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 fitness, wellness & coaching form work?
2 conditional rules ship with the template: Features advanced show logic: if “Any 'yes' answer on this form” is Yes, the form dynamically exposes “Please briefly describe”. Otherwise that question never appears. Features advanced show logic: if “Any 'yes' answer on this form” is Yes, the form dynamically exposes “This response will be flagged for staff review before you proceed.”. Otherwise that question never appears. All 2 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other. All rules are editable in the Logic tab.
Where do responses to the Health Screening Questionnaire 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 Health Screening Questionnaire 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.
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