Mental health clinic booking form template

Mental Health Clinic Booking Form TemplateOkay then, to start can we get your first name?💡 *Creator tip:* _Turn your form into a conversation by recalling names with @. Go to question 2 to see this in action._Okay then {{field:name}}, what’re you looking for today?💡 *Creator tip:* _Add any service you’d like below, then put a price. Update it in the Logic panel under “Branching and calculations” to make sure your payment question works._

I’d like [service #1] - $10, I’d like [service #2] - $20, I’d like [service #3] - $30, I’d like [service #4] - $40

Please choose a date below that works for you. We’ll follow up to confirm a time.💡 *Creator tip:* _If you’d like to book a specific time with respondents you can either follow up after they give you their contact information, or replace this question with a Calendly question._And which email address should we send the confirmation to?💡 *Creator tip:* _Integrate your typeform with Google Sheets or your favorite CRM, and send all your respondent information exactly where you need it._To reserve your spot we'll need to take a payment.💡 *Creator tip:* _The price shown here changes depending on the service they choose in question 2. Alternatively, you can select a fixed price in the Question panel. Learn more about the payment feature [here](https://www.typeform.com/help/a/make-an-order-and-payment-form-360029614351/)._ *This template is for demonstration purposes only. Please don't enter your payment details.*Thanks! You can leave any extra information about your booking below.💡 *Creator tip:* _This question gives people the chance to give you as much detail about their booking as possible._Would you be okay with being contacted by phone as well?💡 *Creator tip:* _It’s really easy to follow up with different questions depending how they answer this one. Just go to the Logic panel and into the ‘Branching and calculations’ tab._

Yes, you can call or message me, Yes, you can message me, No, just email please

Great! What’s your number?💡 *Creator tip:* _Make sure to let them know you won’t be disclosing any of their details to third parties. It makes people feel safe._Your booking is confirmed! We’ll be in touch in the next 24 hours.