Mental Wellness Check-In form template
Respondents reflect on mood, enjoyment, connection and how well they're coping, and a wellbeing variable tracks the overall picture. Logic routes each person to a flourishing, steady or extra-support result, and a follow-up about who they lean on appears only when they have someone to talk to.
What’s in the box
Wellbeing scoring
A supportive score turns honest answers into a clear, non-judgmental snapshot.
Context-aware follow-up
A support question adapts to whether the respondent has someone to talk to.
Three caring outcomes
Flourishing, steady or reach-out — each with warm, practical guidance.
Perfect for
- Counsellors & coaches
- Student wellbeing services
- EAP & HR teams
- Community programs
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