Sleep Study Intake Questionnaire — shared by the community
Rachel O. shared this 14-question build with 1 conditional rule already wired up. Test it below, then take a copy.
A ready-to-use healthcare & clinical form for small teams who need a reliable intake process: 14 questions, 2 pages, 1 conditional rules.
- Shared by
- Rachel O. · Events coordinator
- Questions
- 14
- Replies
- 15
- Copies taken
- 832
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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 2 — Sleep history
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
Sleep Study Intake Questionnaire is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.
- Small teams who need a reliable intake process working in healthcare & clinical.
- Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
- Anyone replacing chasing missing details over email with one structured record per enquiry.
- Respondents are the people you send it to — the form asks them 14 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 chasing missing details over email and turns each submission into a record your team can act on immediately.
- 12 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.
- Conditional logic hides 1 question 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.
- 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 Sleep Study Intake 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 — 1 conditional rule ship with it.
- Features advanced show logic: if “Do you fall asleep unintentionally during the day?” is Yes, the form dynamically exposes “When has this happened?”. Otherwise that question never appears.
- All 1 rule are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
What this form asks
Page 1 — Sleep history
- Patient full namerequired
- Date of birthrequired
- Phone numberrequired
- Email addressrequired
- Describe your sleep concernrequired
- How long has this been happening?required
- How many hours do you typically sleep per night?required
- Do you snore?required
Page 2 — Daytime effects and history
- Do you feel excessively sleepy during the day?required
- Do you fall asleep unintentionally during the day?required
- When has this happened?
- Current medications
- Do you drink caffeine or alcohol in the evening?required
- Typical bedtime and wake timerequired
Conditional logic in this build
- When “Do you fall asleep unintentionally during the day?” is Yes, show “When has this happened?”.
Questions about this shared form
Does this replace the check-in at the sleep lab?
No. It is background the technician reads beforehand; the lab will still have its own check-in and consent process on the night.
Should the patient bring a sleep diary as well?
If your clinic uses one, yes, and this form pairs well with it since the diary supplies the pattern over time and this captures the fuller picture.
What if the patient is unsure how many hours they sleep?
A rough estimate is fine; the study itself will measure the actual pattern far more precisely than a self-report can.
Is snoring alone a reason to worry?
The form does not answer that, and it should not try to; the reviewing clinician interprets the full set of answers alongside the study.
Is the Sleep Study Intake Questionnaire template free to use?
Yes. You can preview and test Sleep Study Intake 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 Sleep Study Intake Questionnaire template ask for?
It asks 14 questions across 2 pages, 12 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 Sleep Study Intake 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 healthcare & clinical form work?
1 conditional rule ships with the template: Features advanced show logic: if “Do you fall asleep unintentionally during the day?” is Yes, the form dynamically exposes “When has this happened?”. Otherwise that question never appears. All 1 rule 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 Sleep Study Intake 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 Sleep Study Intake 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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