Healthcare, Legal & Specialized · community shared

Research Study Screening Form — shared by the community

Tom H. shared this 13-question build with 4 conditional rules already wired up. Test it below, then take a copy.

A ready-to-use healthcare, legal & specialized form for teams with a niche process that generic forms don't cover: 13 questions, 3 pages, 4 conditional rules.

Shared by
Tom H. · Agency owner
Questions
13
Replies
20
Copies taken
493
See the library version

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Live preview and test console

This is the real form. Answer it to test the 1 conditional rule — nothing is sent or stored.

Page 1 of 3About you

Research study screening

Include your country code.

Every question on this page is currently visible.

Works for you? Take Tom H.'s copy into your own workspace — questions, rules and settings included.

Who this template is for

Research Study Screening Form is built for teams with a niche process that generic forms don't cover who need to capture reproducible detail on first contact.

  • Teams with a niche process that generic forms don't cover working in healthcare, legal & specialized.
  • Teams who need to capture reproducible detail on first contact without writing code or paying for a custom build.
  • Anyone replacing requests that need three replies before work can start with one structured record per enquiry.
  • Respondents are the specific group this workflow serves — the form asks them 13 questions across 3 screens.

Why this form is useful

It removes the cost of requests that need three replies before work can start and turns each submission into a record your team can act on immediately.

  • 8 questions are required, so submissions arrive complete instead of needing a follow-up email.
  • It collects a verified email address so replies and confirmations land.
  • It captures a phone number for urgent follow-up.
  • It pins the request to a specific date.
  • It captures a numeric value you can filter and sort on.
  • Conditional logic hides 4 questions until they are relevant — shorter forms convert better than long ones.
  • Splitting the form across 3 pages keeps each screen short and shows respondents how much is left.
  • 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.

  1. 1Press “Use this template” — a fresh copy of Research Study Screening Form lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 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.
  4. 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.
  5. 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 — 4 conditional rules ship with it.

  • Features skip logic: if “Are you within the study's target age range?” is No, respondents jump straight to “Consent & scheduling” and skip everything in between.
  • Features skip logic: if “Have you been diagnosed with the relevant condition in the past 12 months?” is No, respondents jump straight to “Consent & scheduling” and skip everything in between.
  • Features skip logic: if “Do you have any of the excluded conditions listed?” is Yes, respondents jump straight to “Consent & scheduling” and skip everything in between.
  • Features advanced show logic: if “Are you within the study's target age range?” is No, the form dynamically exposes “Thank you for your interest”. Otherwise that question never appears.
  • All 4 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 — About you

  • Full namerequired
  • Email addressrequired
  • Phone number
  • Your agerequired

Page 2 — Eligibility criteria

  • Are you within the study's target age range?required
  • Have you been diagnosed with the relevant condition in the past 12 months?required
  • Do you have any of the excluded conditions listed?required

Page 3 — Consent & scheduling

  • Briefly describe your relevant medical or personal history
  • Are you willing to be contacted for a short screening call?required
  • Best date for a screening call
  • Preferred time of day
  • How did you hear about this study?
  • Agreementrequired

Conditional logic in this build

  • WhenAre you within the study's target age range?is No, skipConsent & scheduling”.
  • WhenHave you been diagnosed with the relevant condition in the past 12 months?is No, skipConsent & scheduling”.
  • WhenDo you have any of the excluded conditions listed?is Yes, skipConsent & scheduling”.
  • WhenAre you within the study's target age range?is No, showThank you for your interest”.

Questions about this shared form

Does passing this screener enrol someone in the study?

No — it only identifies likely-eligible candidates. Formal enrolment happens after a screening call confirms eligibility in detail.

Can I customise the eligibility questions?

Yes, and you should — the questions here are a representative example. Replace them with your actual protocol's inclusion and exclusion criteria.

What should the disqualification message say?

Keep it brief, thank the person for their time, and avoid stating exactly which answer disqualified them.

Do I need ethics approval for this form?

Check with your institution — most research involving human participants needs the recruitment materials, including screening forms, reviewed by an ethics board first.

Is the Research Study Screening Form template free to use?

Yes. You can preview and test Research Study Screening 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 Research Study Screening Form template ask for?

It asks 13 questions across 3 pages, 8 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 Research Study Screening Form form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic layout, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this healthcare, legal & specialized form work?

4 conditional rules ship with the template: Features skip logic: if “Are you within the study's target age range?” is No, respondents jump straight to “Consent & scheduling” and skip everything in between. Features skip logic: if “Have you been diagnosed with the relevant condition in the past 12 months?” is No, respondents jump straight to “Consent & scheduling” and skip everything in between. Features skip logic: if “Do you have any of the excluded conditions listed?” is Yes, respondents jump straight to “Consent & scheduling” and skip everything in between. All rules are editable in the Logic tab.

Where do responses to the Research Study Screening 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 Research Study Screening 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.