Halloform
Healthcare

Mental Health Screening Questionnaire form template

A supportive, confidential screening for mental-health and counseling practices. Uses validated-style scales to gauge mood, stress, and support needs ahead of a first appointment.

ScreeningWellbeingConfidential
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What’s in the box

Gentle and private

A calm, non-judgmental tone helps patients answer honestly.

Clinician-ready

Likert scales give counselors a clear starting picture.

Flags urgent needs

Sensitive questions help route those who need faster support.

Perfect for

  • Counseling intake
  • Therapy pre-screen
  • Employee wellbeing check
  • Student support services

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