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Health & Wellness template

Free wellness check-in form template

A thirty-second check-in before a session: mood, sleep, energy and anything that hurts.

  • 5 questions
  • One question at a time
  • Free, unlimited responses

Opens in your dashboard with the whole form in front of you. Nothing is created until you say so. Keep it, restyle it, or pick a different one.

Updated October 7, 2026

  1. Q1

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Inside the template

What this wellness check-in asks, and why

A thirty-second check-in before a training, physio or coaching session. Clients rate how they feel with an emoji scale, say how they slept, set their energy on a slider and say whether anything is sore or stiff. An optional box asks what you should know before you begin. Each question has its own screen and is answered with a tap, so it's quick on a phone. The slider matters over time: tracked week by week, it shows a trend that four labels would hide. Send the link the night before, or put a QR code at reception.

Questions
5, 4 required
Format
One question at a time
Theme
Sage, or any of 26
Cost
Free, no response cap

The 5 questions it asks

In order, with their field types and why each one is there. Pick one to see its screen above. Edit, reorder or delete any of them once it's yours.

  • An emoji rating for how they feel today, quicker to answer than a number.

  • How they slept, from 'Well' to 'Barely at all'.

  • A slider for energy, which shows a trend over weeks.

  • Anything sore or stiff, so you can adapt the session.

  • Optional, for anything else before you begin.

When to use it

Built for these jobs, and easy to bend to yours

  • Personal training and small-group sessions
  • Physiotherapy and rehab appointments
  • Coaching and therapy check-ins
  • Any session that should adapt to how someone arrives

Ways to adapt it

Team wellbeing

Use it for a weekly team check-in, anonymous by default.

Physiotherapy

Add a pain scale for a specific injury and how exercises went at home.

Coaching

Add a question on progress against last week's goal.

Best practices

How to get good answers from a wellness check-in

  1. 1

    Ask before every session

    The same five questions every time make changes easy to spot.

  2. 2

    Act on the answers

    If someone slept badly or something hurts, adjust the session and say why.

  3. 3

    Keep it under a minute

    One question per screen and taps instead of typing make it quick.

  4. 4

    Look at trends

    Export a client's check-ins to see energy and sleep across weeks.

After you publish

Where the responses go next

  1. Read it before you start

    Open the latest response before each session.

  2. Keep them in one place

    On Pro, each check-in can add a row to a private Google Sheet, which makes a week-by-week chart for each client easy.

  3. Track over time

    Search responses by name and export to CSV to chart a client's trend.

FAQ

Wellness Check-In: common questions

Still deciding?

Seven steps from an empty account to a published form.

Is this a medical record?

No. It is a session check-in, useful context before you begin, not clinical documentation or a substitute for a doctor's advice.

Why a slider for energy?

Energy is a scale, and buttons flatten it. A slider tracked over weeks shows a trend that four labels would hide.

Can clients fill it in beforehand?

Yes. Share the link the night before, or put a QR code at reception.

Does it work on a phone?

Yes. One question per screen, with taps and a slider instead of typing.

Is it free?

Yes, with unlimited check-ins on the free plan.

Designed to be answered

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