Intake Assessment Form

To provide the necessary care or services for your target audience, it is crucial to have a deep understanding of their needs and characteristics. You can provide better services to them with an online form. Use forms.app’s free intake assessment form template to create your form!
Preview

How to use this intake assessment form

1. Import into your account

1. Import into your account

View this intake assessment form and click on "use template" after making sure this is what you are looking for.

2. Customize however you like

2. Customize however you like

Add or remove questions through forms.app's drag & drop interface and match your brand style.

3. Share it on all channels

3. Share it on all channels

Customize the URL, change the access levels, create a QR code, or get the embed code.

Need a custom template instead?

Just tell us what you’d like to create in a few words. forms.app AI will understand your use case and create a free template for you.

Connect it to your favorite apps

More than 500+ integrations

Use this template and simply connect it to your everyday apps and enjoy automated workflows.

See all integrations

What is an intake assessment form?

Intake assessment forms are online forms a person fills out before receiving the needed services. With these assessment forms, healthcare institutions can examine patients’ health histories in detail and easily identify their problems and needs. For example, if a patient has an allergic reaction, the appropriate treatment method can be applied to the patient, or the necessary prescriptions can be given.

These assessment forms can also be used in many other areas. For example, in schools or educational institutions, it helps to gather information about new students in advance. With this information, you can determine if the students have communication problems, identify learning needs, and make special arrangements.