Student Wellbeing Check-In Survey
Short pastoral check-in that flags students who want to talk and routes urgent responses to a named adult.
A ready-to-use education & schools form for schools, tutors and course providers: 11 questions, 2 pages, 4 conditional rules.
- Questions
- 11
- Pages
- 2
- Layouts
- card · classic
- Conditional rules
- 4
- Typical time
- 3 min
Searches this template answers
- student wellbeing survey
- student check in form
- student mental health survey template
- pastoral check in form
- free student wellbeing questionnaire
- school wellbeing survey questions
Also filed under
Live preview and test console
This is the real form. Answer it to test the 3 conditional rules — nothing is sent or stored.
Page 1 of 2 — This week
Every question on this page is currently visible.
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
Student Wellbeing Check-In Survey is built for schools, tutors and course providers who need to enrol people and record permissions in one place.
- Schools, tutors and course providers working in education & schools.
- Teams who need to enrol people and record permissions in one place without writing code or paying for a custom build.
- Anyone replacing consent forms chased on paper the week before term with one structured record per enquiry.
- Respondents are students, parents and staff — the form asks them 11 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 consent forms chased on paper the week before term and turns each submission into a record your team can act on immediately.
- 3 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It measures sentiment on a numeric scale.
- It allows multiple selections without free text.
- Conditional logic hides 4 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 Student Wellbeing Check-In Survey 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 — 4 conditional rules ship with it.
- Features advanced show logic: if “Would you like someone to check in with you?” is Yes, the form dynamically exposes “Who would you prefer to speak to?”. Otherwise that question never appears.
- Features conditional validation: if “Would you like someone to check in with you?” is Yes, “Your name” becomes mandatory before the form can be sent.
- Features advanced show logic: if “Is anything worrying you at the moment?” is Yes, the form dynamically exposes “What is on your mind?”. Otherwise that question never appears.
- Features advanced show logic: if “How have you felt over the past week?” is Not good at all, the form dynamically exposes “Support available right now”. 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.
About this template
A wellbeing survey has one job: find the students who need a conversation this week. This one stays deliberately short so a whole tutor group can complete it in registration. Students rate how they have felt over the past week, how well they have been sleeping, how manageable their workload feels and how connected they feel to people around them, then answer the two questions that actually drive action — whether anything is worrying them and whether they would like someone to check in. Answering yes to wanting a check-in opens a follow-up asking who they would prefer to speak to and how soon, so the response arrives already routed. Students choosing 'not good at all' see the support signposting text before they submit. Identity is optional by design: the form asks for a name only if the student wants contact, so honest answers are possible for anyone who does not. Trend questions stay identical week to week, which is what makes a rising average worth acting on.
What this form asks
Every question is editable — rename it, make it optional, or delete it entirely.
Page 1 — This week
- How have you felt over the past week?required
- How manageable does your workload feel?
- How well have you been sleeping?
- Do you feel connected to people at school?
Page 2 — Anything else
- Is anything worrying you at the moment?required
- What is on your mind?
- Where is the pressure coming from?
- Would you like someone to check in with you?required
- Who would you prefer to speak to?
- Your name
- Tutor group or course
11 questions in total.
How the form changes as it's filled in
This template ships with 4 conditional rules, grouped into 4 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 “Would you like someone to check in with you?”
- Reveals questions
If “Would you like someone to check in with you?” is Yes, the form reveals “Who would you prefer to speak to?”.
- Makes answers required
If “Would you like someone to check in with you?” is Yes, “Your name” becomes required before the form can be submitted.
Driven by “Is anything worrying you at the moment?”
- Reveals questions
If “Is anything worrying you at the moment?” is Yes, the form reveals “What is on your mind?”.
Driven by “How have you felt over the past week?”
- Reveals questions
If “How have you felt over the past week?” is Not good at all, the form reveals “Support available right now”.
Set it up step by step
- 1
Put your own support details in
Replace the signposting paragraph with your safeguarding lead, your internal contact and a helpline for your country before you share the link.
- 2
Route the urgent responses
Set an email notification so any response asking for a check-in goes straight to the pastoral inbox rather than waiting for a weekly export.
- 3
Keep the questions identical
Do not reword the rated questions between rounds — a trend only means something when the wording has not moved.
- 4
Tell students what happens next
Say who reads the answers and how quickly someone will follow up; honesty rates drop sharply when that is unclear.
Mistakes to avoid
- Making the name field required, which stops the students you most want to hear from answering honestly.
- Running it without deciding in advance who reads the responses each day.
- Adding twenty questions, so it stops being something a tutor group can finish in registration.
What it pairs with
Most teams don't run this form on its own. These are the forms and systems it sits next to.
What to do with the responses
Triage check-in requests the same day, log the conversation in your pastoral system, and review the weekly averages with the year team.
Works in both layouts
Forms that overlap this one
These pages cover the same subject ground as the student wellbeing check-in survey, matched on the words people actually search for.
Student Class Survey
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Class Evaluation Form
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Classroom Observation Form
academicclascourseeducationenrollment
School Volunteer Form
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Student Absence Form
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Assignment Submission Form
academicclascourseeducationenrollment
Frequently asked questions
Is this a diagnostic tool?
No. It is a pastoral check-in for spotting students who want a conversation. It does not screen, score or diagnose anything and should never replace a referral to a qualified professional.
Should responses be anonymous?
Keep the name optional. Students who want contact will give it because the follow-up question asks for it; everyone else can answer honestly without being identified.
How often should we run it?
Fortnightly works for most year groups. Weekly gets ignored, termly is too slow to catch anything, and either way the questions must stay the same.
What about safeguarding disclosures?
Treat any disclosure through this form exactly as you would one made in person, under your existing safeguarding policy. Say so in the signposting text so students are not surprised.
Student Wellbeing Check-In Survey — is it free?
Yes. You can preview and test Student Wellbeing Check-In Survey 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.
Student Wellbeing Check-In Survey — questions included
It asks 11 questions across 2 pages, 3 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.
Student Wellbeing Check-In Survey — editing and customising
Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the card and classic layouts, restyle it to match your brand, and set who gets notified on each submission.
Conditional logic in a education & schools form
4 conditional rules ship with the template: Features advanced show logic: if “Would you like someone to check in with you?” is Yes, the form dynamically exposes “Who would you prefer to speak to?”. Otherwise that question never appears. Features conditional validation: if “Would you like someone to check in with you?” is Yes, “Your name” becomes mandatory before the form can be sent. Features advanced show logic: if “Is anything worrying you at the moment?” is Yes, the form dynamically exposes “What is on your mind?”. Otherwise that question never appears. All rules are editable in the Logic tab.
Student Wellbeing Check-In Survey — responses, exports and notifications
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.
Student Wellbeing Check-In Survey — website embed and sharing
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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