Spa Intake & Health Questionnaire
Screen spa and massage clients on health, pressure and treatment goals.
A ready-to-use beauty, salon & spa form for small teams who need a reliable intake process: 20 questions, 4 pages, 3 conditional rules.
- Questions
- 20
- Pages
- 4
- Layouts
- classic · card
- Conditional rules
- 3
Searches this template answers
- spa intake form
- massage intake form
- spa health questionnaire
- wellness intake form
- therapist client form
- free spa intake form template
- treatment consent form
Also filed under
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 4 — Your details
Every question on this page is currently visible.
Compliance checklist
- Payment items priced — passingEvery payment question charges a real amount, so a submission always records a payment.
- Conditional logic resolves — passingEvery rule points at a question or page that exists in this template.
- Medical disclaimer present — passingThis form does not provide medical advice, diagnosis or treatment. Information you share here is not a substitute for care from a qualified clinician. In an emergency, contact your local emergency service immediately.
- Question labels unique — passingLogic and exports address questions by label, so duplicates are ambiguous.
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
Spa Intake & Health 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 beauty, salon & spa.
- 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 20 questions across 4 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 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 4 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 Spa Intake & Health 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 — 3 conditional rules ship with it.
- Features conditional validation: if “Are you pregnant?” is Yes, “How many weeks?” becomes mandatory before the form can be sent.
- Features conditional validation: if “Any medical conditions or recent surgery?” is Yes, “Medical details” becomes mandatory before the form can be sent.
- Features advanced show logic: if “Areas to avoid today?” is Yes, the form dynamically exposes “Which areas?”. Otherwise that question never appears.
- All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
About this template
Massage therapists and spa teams need a health picture before hands go anywhere near a client, and this questionnaire is written to be completed calmly before arrival rather than rushed in reception. It opens with contact details, an emergency contact and the treatment booked, then moves into a medical section covering blood pressure, heart conditions, recent surgery, pregnancy and trimester, diabetes, epilepsy, cancer history, varicose veins, skin conditions, injuries and current medication. Each positive answer opens a free-text box so the therapist can judge rather than guess. A goals section asks what the client wants from the session — relaxation, specific pain relief, mobility, sleep or stress — along with preferred pressure, areas to avoid, allergies to oils or nut-based products, and whether they prefer conversation or quiet. The consent block confirms the treatment has been explained, that the client will disclose any change in health, and that they accept the cancellation policy, and is signed on screen or on your reception tablet.
What this form asks
Every question is editable — rename it, make it optional, or delete it entirely.
Page 1 — Your details
- Full namerequired
- Email addressrequired
- Mobile number
- Date of birth
- Emergency contact name and numberrequired
- Treatment bookedrequired
Page 2 — Health
- Do any of these apply?required
- Any medical conditions or recent surgery?required
- Medical details
- Are you pregnant?required
- How many weeks?
- Current medication
- Allergies (oils, nuts, fragrance, latex)
Page 3 — Your session
- What would you like from today?required
- Preferred pressurerequired
- Areas to avoid today?required
- Which areas?
- Do you prefer conversation or quiet?
Page 4 — Consent
- Agreementrequired
- Client signaturerequired
20 questions in total.
How the form changes as it's filled in
This template ships with 3 conditional rules, grouped into 3 behaviours driven by 3 questions. Everything below is already set up — edit or delete any rule once the template is in your workspace.
Driven by “Are you pregnant?”
- Makes answers required
If “Are you pregnant?” is Yes, “How many weeks?” becomes required before the form can be submitted.
Driven by “Any medical conditions or recent surgery?”
- Makes answers required
If “Any medical conditions or recent surgery?” is Yes, “Medical details” becomes required before the form can be submitted.
Driven by “Areas to avoid today?”
- Reveals questions
If “Areas to avoid today?” is Yes, the form reveals “Which areas?”.
Works in both layouts
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Privacy & compliance
This form collects health information. Keep access limited to the people who need it, turn on encrypted answers for the clinical questions, and set a retention window so records don't sit in the dashboard forever.
Frequently asked questions
Can I send this before arrival?
Yes — email the link with the booking confirmation and the therapist can review answers before the client walks in.
Is it suitable for medical massage?
It covers standard contraindications; add clinic-specific questions or referral fields as your insurer requires.
Can returning clients skip it?
Send a shortened version that only asks whether anything has changed since their last visit.
Does the signature count as consent?
The drawn signature is stored with a timestamp against the answers, giving you a dated consent record per treatment.
Is the Spa Intake & Health Questionnaire template free to use?
Yes. You can preview and test Spa Intake & Health 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 Spa Intake & Health Questionnaire template ask for?
It asks 20 questions across 4 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 Spa Intake & Health 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 beauty, salon & spa form work?
3 conditional rules ship with the template: Features conditional validation: if “Are you pregnant?” is Yes, “How many weeks?” becomes mandatory before the form can be sent. Features conditional validation: if “Any medical conditions or recent surgery?” is Yes, “Medical details” becomes mandatory before the form can be sent. Features advanced show logic: if “Areas to avoid today?” is Yes, the form dynamically exposes “Which areas?”. Otherwise that question never appears. All rules are editable in the Logic tab.
Where do responses to the Spa Intake & Health 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 Spa Intake & Health 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.
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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