Illness Report Form
Log symptoms, temperature readings and exclusion decisions so return-to-care dates are consistent.
A ready-to-use daycare forms form for small teams who need a reliable intake process: 16 questions, 2 pages, 2 conditional rules.
- Questions
- 16
- Pages
- 2
- Layouts
- classic · card
- Conditional rules
- 2
- Typical time
- 4 min
Searches this template answers
Also filed under
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 — Report
1 question is hidden by conditional logic right now — change an answer above to reveal it.
What happens after submit: nothing is stored in this preview. On your own copy, every response triggers an instant email notification and lands in your response dashboard, ready to export or forward.
Happy with it? Take a copy into your workspace — every question, rule and setting comes with it.
Who this template is for
Illness Report Form 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 daycare forms.
- 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 16 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.
- 9 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It pins the request to a specific date.
- It allows multiple selections without free text.
- It captures a numeric value you can filter and sort on.
- Conditional logic hides 2 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.
- 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 Illness Report 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.
- 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 conditional hiding: if “Who is reporting this?” is A parent or guardian, “Time the family was contacted” is removed from the form and is never submitted.
- Features advanced show logic: if “Was a temperature taken?” is Yes, the form dynamically exposes “Temperature readings and times”. 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.
About this template
Illness decisions feel arbitrary to families unless the reasoning is written down the same way every time. This form records the symptoms observed, any temperature readings with the times they were taken, when the family was contacted, and the return date implied by your exclusion policy — so the next conversation starts from a record instead of a memory.
What this form asks
Every question is editable — rename it, make it optional, or delete it entirely.
Page 1 — Report
- Who is reporting this?required
- Child's full namerequired
- Roomrequired
- Daterequired
- Time symptoms were noticed
- Symptomsrequired
- Describe what you're seeing
- Was a temperature taken?required
- Temperature readings and times
Page 2 — Decision
- Time the family was contacted
- Outcomerequired
- Earliest return date under our policy
- Has a doctor been seen?required
- How many other children in the room have similar symptoms this week?
- Notes for the room and for cleaning
- Completed byrequired
16 questions in total.
How the form changes as it's filled in
This template ships with 2 conditional rules, grouped into 2 behaviours driven by 2 questions. Everything below is already set up — edit or delete any rule once the template is in your workspace.
Driven by “Who is reporting this?”
- Hides questions
If “Who is reporting this?” is A parent or guardian, the form hides “Time the family was contacted”, so nobody answers questions that don't apply.
Driven by “Was a temperature taken?”
- Reveals questions
If “Was a temperature taken?” is Yes, the form reveals “Temperature readings and times”.
What it pairs with
Most teams don't run this form on its own. These are the forms and systems it sits next to.
Works in both layouts
Forms that overlap this one
These pages cover the same subject ground as the illness report form, matched on the words people actually search for.
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Emergency Contact Form
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Privacy & compliance
This form asks about a child. Collect a guardian's consent, keep contact and medical answers to the minimum you actually need, and restrict who on your team can open the responses.
Frequently asked questions
Is the Illness Report Form template free to use?
Yes. You can preview and test Illness Report 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 Illness Report Form template ask for?
It asks 16 questions across 2 pages, 9 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 Illness Report 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 daycare forms form work?
2 conditional rules ship with the template: Features conditional hiding: if “Who is reporting this?” is A parent or guardian, “Time the family was contacted” is removed from the form and is never submitted. Features advanced show logic: if “Was a temperature taken?” is Yes, the form dynamically exposes “Temperature readings and times”. 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 Illness Report 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 Illness Report 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.
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