Health & Wellness
Mental Health Check-in form template
A gentle multi-step screening on a calming card: three opinion-scale questions (mood, anxiety, sleep), whether they'd like support, an open field, and an optional email. For clinics, EAPs and wellness teams.
Opinion scaleHealthcareConfidential
What’s in the box
Gentle scales
Mood, anxiety, sleep.
Offer support
Connect if they want.
Safe space
Open, optional sharing.
Perfect for
- Clinics
- EAPs
- Wellness teams
- Counselors
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