Healthcare templates

Measures adults' drinking frequency, preferred drinks, beliefs about alcohol and openness to strategies for drinking less.

Measures adults' drinking frequency, quantity, settings, motives, perceived effects and harms, and interest in getting help.

Screens adults' alcohol consumption with AUDIT-C and explores drinking's effects, reasons and experience of support.

Screens adults for hazardous and harmful drinking with the WHO AUDIT, plus first use, drinking situations, effects and tolerance.

Screens adults for hazardous or harmful alcohol use over the past year using the free WHO AUDIT questionnaire.

Explores withdrawal symptoms, their severity and onset, and coping methods among people cutting down or stopping alcohol.

Captures adults' knowledge of alcohol harm, own urge to cut down, harms observed around them and views on prevention.

Measures how often community members drink, what and where they drink, and how alcohol affects their lives.

Measures adults' drinking frequency, quantity, reasons, effects on daily life and help-seeking for alcohol use.

Assesses adults' drinking frequency, drink choice, drinking context, warning signs, effects on life and plans to change.

Measures self-rated mental health, recent symptoms, stress sources, coping and support use among community or workforce members.

Explores how often adults drink, their reasons for drinking, perceived effects, views on alcohol and sense of control.

Gathers feedback from people in addiction recovery on early challenges, helpful program parts and confidence ahead.

Anonymous employee survey on drinking levels, alcohol's effects on work, workplace culture and awareness of policy and support.

Assesses alcohol use, drinking context and perceived norms among young people aged 12 to 24.

Measures adults' stress levels, triggers, coping methods, support and the effects of stress on health, work and quality of life.

Gathers patients' ratings of recent healthcare services plus self-rated health, physical activity and diet quality.

A brief adult mental health check-in covering self-rated mental health, mood and anxiety screening, daily functioning and support.

A non-diagnostic reflection for adults on recent periods of high and low mood, their effects and support needs.

Measures adults' overall happiness, daily-life satisfaction, emotions, coping and social connections.

Collects patients' background, medications, allergies, long-term conditions, lifestyle habits and family health history.

Screens adults for anxiety symptoms over the last two weeks with the GAD-7, plus daily impact and support needs.

Explores community members' self-rated wellbeing, stress and anxiety, their triggers, and healthy routine habits.

Screens adults for depressive symptoms over the past two weeks using the free PHQ-9 questionnaire.

Rates the severity of depressive symptoms in adults over the past two weeks using the free PHQ-9 questionnaire.

Measures recent depression, anxiety and stress symptoms in adults using the public-domain DASS-21 self-report scale.

A non-diagnostic self-reflection on body image, eating patterns and weight-control behaviours over the past three months.

Non-diagnostic reflection on eating patterns, food preoccupation, body image and wish for support, for teens and adults.

Non-diagnostic reflection for adults on how often they feel distressed, how they cope and which areas of life are affected.

A non-diagnostic check-in for adults in wellbeing services covering mood, hopelessness and thoughts of self-harm.

A non-diagnostic reflection for adults on how often they have memory gaps, absorption or feelings of detachment.

Screens adults for generalized anxiety symptoms over the past two weeks using the free seven-item GAD-7.

A non-diagnostic self-reflection on intrusive thoughts, repetitive behaviours and their impact over the past month.

An informal reflection for adults on satisfaction with life overall, its main areas and how it is changing.

Measures adults' emotional wellbeing over the past four weeks with the five MHI-5 items from the free RAND-36 survey.

A short check-in on attitudes to mental health, recent feelings, stress, coping and support needs for service users.

A non-diagnostic reflection for adults on recent mood, sleep, energy and how mood changes affect daily life.

Measures how often adults feel low, persistent symptoms, their effect on daily life, past treatment and sources of support.

Screens adults for depressive symptoms over the last two weeks with the free PHQ-9 and its functional-difficulty item.

Measures how unpredictable, uncontrollable and overloaded adults have found their lives over the last month.

Screens adults for non-specific psychological distress over the past 30 days with the free six-item Kessler K6 scale.

Screens adults who have been through a very stressful experience for PTSD symptoms over the past month.

A non-diagnostic survey of adults' exposure to distressing events, stress reactions, life impact and support used.

Screens adults' current mental well-being over the past two weeks with the free five-item WHO-5 index.

Anonymous check of how often employees feel anxious, their main work stressors, coping methods and wanted support.

Measures employees' health, stress, emotions, social connection, work-life balance and growth opportunities at work.

Measures how stressful adults find their typical day, which activities and situations cause stress, and how they cope.

Collects a patient's close-family history of major conditions, onset, lifestyle and prevention to assess inherited risk.

An original, non-diagnostic self-reflection on five broad personality dimensions for personal or professional development.

Screens adults for lifestyle, body-measure, medical-history, sleep and stress risk factors for chronic disease.

Measures recently discharged inpatients' experience of admission, ward care, discharge and willingness to recommend.

Helps team leads reflect on their leadership style, its effect on their team and where they want to develop.

Asks adults with long-term conditions about illness burden, treatment plans and effectiveness, and their support network.

Collects consent, medical history, current medication and satisfaction ratings from participants in a medication study.

Collects a new patient's details, reason for visit, medical history and lifestyle before the first appointment.

Measures how easily patients get appointments and care, what delays them, and how cost and travel affect access.

Measures patients' views of their latest visit: care quality, communication, facility, follow-up and what matters most.

Measures patients' views of care quality, staff communication, the facility and follow-up after a recent visit.

Collects patients' ratings of their consultation, diagnosis, treatment and follow-up care, with suggestions for improvement.

Assesses what patients understand about their condition, where they get information, how they prefer to learn and their barriers.

Collects patients' ratings of a recent hospital or clinic visit, covering staff, treatment explanations and follow-up care.

Collects patients' ratings of care quality, communication, staff, waiting time, involvement and overall experience after a visit.

Measures patients' reported health changes, goal progress, plan adherence and support during a course of care.

Measures healthcare staff views on patient safety culture, protocols, training, communication and incident handling.

Measures patients' satisfaction with care quality, cleanliness, staff, waiting, communication and involvement after a visit.

Records a patient's or representative's informed consent to a named treatment, plus research and photography choices.

Tracks patients' general, physical, emotional and social health and how their treatment has changed it over time.

Measures recently discharged patients' views of their hospital stay, discharge process and problems after going home.

Collects a surgical patient's conditions, medicines, lifestyle, family history and recent symptoms before an operation.

Asks potential research participants about past participation, motivation, consent documents and privacy concerns.

Records contact details, medical history, understanding of the trial and the consent decision of prospective trial participants.

Records a clinical-trial candidate's basic details, health background, understanding of the trial and consent decision.

Records a patient's understanding of a proposed treatment, communication preferences and their consent decision.

Collects dental patients' history, oral habits and medical details and records their consent to recommended treatment.

Records understanding, results preferences, optional research permissions and consent for a clinical genetic test.

Measures patients' privacy concerns, understanding of health-data sharing, views on safeguards and willingness to share.

Measures patients' awareness of, and preferences and safeguards for, the use of their health data for care, research and planning.

Records patients' consent to clinical photography, its educational and publication uses, and any concerns.

Measures how well patients understood a proposed treatment and whether their consent decision felt informed and voluntary.

Measures how well surgical patients felt informed and how clear they found the consent form, with suggestions for improvement.

Records whether patients understand telemedicine, accept its privacy terms and risks, and consent to remote care.

Checks a patient's understanding of, confidence in and concerns about a planned treatment, and records their consent decision.

Profiles a person's traits, preferred work environment, skills and career direction to support career guidance.

Explores interests and self-rated skills across Holland's six work-interest types for students and career changers.

A non-diagnostic reflection for adults on awareness, use and recognition of their personal strengths across settings.

Non-diagnostic reflection on how a person usually handles disagreements, with scenarios and development goals.

Helps adults reflect on emotional, relationship, self-image and impulsive patterns over the past year; non-diagnostic.

A non-diagnostic self-reflection on how adults notice, understand, express and use emotions at home and at work.

Non-diagnostic self-reflection on adaptability, social preferences, emotional style, decision-making and daily habits.

A self-reflection profile of social style, teamwork, stress coping, decision influences and passions for staff or applicants.

A non-diagnostic reflection for adults on how they recharge, decide, prefer to work and react under pressure.

Helps adults reflect on five broad personality areas, from social energy to openness; non-diagnostic and for self-awareness.

An informal, non-diagnostic self-reflection on the five broad personality traits for adults curious about their style.

Measures adults' global self-esteem with the Rosenberg scale plus the life areas and outside factors that shape it.

An informal self-reflection for adults on how outgoing they are and how strongly they react to stress.

Non-diagnostic reflection on problem-solving instincts, team roles, comfort zones and future tendencies for coaching use.

Helps employees reflect on four work-behaviour tendencies: driving results, engaging others, pace and accuracy.