Free wellness check-in form template
A thirty-second check-in before a session — sleep, energy and anything that hurts.
- 5 questions
- One question at a time
- Free, unlimited responses
Opens in your dashboard with the whole form in front of you. Nothing is created until you say so — keep it, restyle it, or pick a different one.
Before we start
How are you feeling today?
How did you sleep?
Where's your energy right now?
Anything sore, stiff or bothering you?
Anything I should know before we begin?
Try it in another theme
Ships in Sage · 26 to choose from
Tap any theme to see this form wearing it.
A check-in is answered in a doorway or on a phone before a session starts, and the format has to match that: five screens, one tap each. Energy is a slider rather than a set of buttons because it genuinely is a scale, and pretending otherwise loses the thing you are tracking week to week.
- Questions
- 5 in total — 4 required
- Format
- One question at a time
- Theme
- Sage, changeable to any of the 26
- Cost
- Free, with no cap on responses
The 5 questions it asks
In order, with their field types. Edit, reorder or delete any of them once it's yours.
- 1How are you feeling today?Star ratingRequired
- 2How did you sleep?Multiple choice · e.g. WellRequired
- 3Where's your energy right now?SliderRequired
- 4Anything sore, stiff or bothering you?Multiple choice · e.g. No, all goodRequired
- 5Anything I should know before we begin?Long textOptional
When to reach for it
- Personal training and small-group sessions
- Physiotherapy and rehab appointments
- Coaching and therapy check-ins
- Any session that should adapt to how someone arrives
And once it's yours
All of it on the free plan — none of this is an upgrade prompt.
- Conditional logicShow a question only when an earlier answer calls for it.
- Sheets, Slack and webhooksSend every response where your team already works.
- 26 themes, one clickThe same form, restyled from type to field shape.
Frequently asked questions
Is this a medical record?
No. It is a session check-in — useful context before you begin, not clinical documentation, and it is not a substitute for advice from a doctor.
Why a slider for energy?
Because energy is a scale and buttons flatten it. A slider tracked over weeks shows a trend that four labels would hide.
Can clients fill it in beforehand?
Yes — share the link the night before, or put a QR code at reception for the ones who arrive without doing it.
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