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Mental Health Questionnaire Form Template

Gather the context needed to understand how someone is doing, so support is grounded in what they actually share.

Mental Health Questionnaire Form Template

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Mental health check-ins and assessments are only useful if people feel safe enough to answer honestly. A questionnaire that feels clinical, impersonal, or too long creates the opposite of the conditions you want. People give minimal answers, and you end up with data that doesn't reflect what's actually going on.

A Typeform mental health questionnaire works differently. The one-question-at-a-time format feels less like a form and more like a conversation. Conditional logic can gently follow up based on how someone responds, probing for more detail when they indicate they're struggling, without overwhelming those who are doing well. Responses provide a structured picture that clinicians, counselors, or wellbeing teams can actually use.

Use validated question sets like PHQ-9, GAD-7, or your organization's own framework. Customize for your context, whether that's a clinical intake, an employee wellbeing check-in, or a student support program.

Mental Health Questionnaire Form Template FAQs:

A mental health questionnaire is a structured tool used to assess an individual's psychological wellbeing, screen for specific conditions, or gather information ahead of a clinical or counseling appointment. It may use validated assessment scales or custom questions developed for a specific program.

A digital questionnaire completed before an appointment gives clinicians or counselors context before the conversation starts, which makes sessions more focused and productive. For wellbeing programs, regular check-ins with a structured tool make it easier to spot individuals who may need additional support.

Include items that cover key dimensions of wellbeing:

  • Frequency of feeling down, anxious, or hopeless over the past 2 weeks
  • Quality of sleep and any changes in appetite or energy
  • Ability to concentrate and complete daily tasks
  • Social connection and feelings of isolation
  • Any thoughts of self-harm or hopelessness (with appropriate safety protocols in place)
  • What kind of support the person is hoping for

Build in a safety protocol for responses that trigger concern. Conditional logic can direct someone to crisis resources immediately based on their answers, and staff who monitor responses should have a clear process for following up with high-risk submissions quickly. Do not use a digital form as the sole intervention for someone expressing immediate risk.

Yes. The PHQ-9 (depression), GAD-7 (anxiety), and WEMWBS (general wellbeing) are widely used validated tools with established scoring. You can build these into a Typeform with their standard question wording and configure automatic scoring using Typeform's calculator feature.

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