Wellness Survey Form Template

About this template

A wellness survey form is a questionnaire used by wellness clinics, health care providers, and health insurers to collect patient health data. Whether you’re an individual, a student, or an employee, use our Wellness Survey template to fill out a health and wellness questionnaire! Just customize the questions to match your needs, embed the form on your website, and share it with a link to collect responses. If you’ve got responses you need to store, view, or analyze, they’re easy to export to your favorite accounts.

Don’t know where to begin? Use our free Form Builder to add questions, change fonts, colors, or add widgets to get the look you want. If you’d like to store responses in your other accounts like Google Drive or Dropbox, use our 100+ integrations to do it automatically. You can even use Jotform Report Builder to analyze the data you collect! Start collecting wellness survey responses and get the data you need to improve the wellness and overall health with our free, online Wellness Survey template.