Health questionnaire
A self-assessment of wellbeing: sleep, stress, habits. Built as a questionnaire for a clinic or a corporate health programme.
What the template is made of
Every block in the order it sits in the builder. Branching decides which of them a given person actually sees.
- Self-assessment Text block
- Consent to anonymous participation Consent
- About you Section break
- Your gender Single choice
- Date of birth Date
- How you feel Section break
- Over the past month, how often did you… Matrix
- Sleep quality over the past week Slider
- Stress level Slider
- Habits Section break
- Which of these habits do you have? Multiple choice
- Do you take medication regularly? Yes / No
- What would you like to change about your lifestyle? Long answer
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Do not start from an empty canvas
Open the catalog, take the closest template and rewrite the questions for your job. Five minutes instead of an hour.