About this template
This body assessment form template streamlines the initial consultation process for spas, wellness centers, and body contouring clinics. It collects vital client details, including target areas of concern, prior body sculpting history, current weight, body mass index (BMI), and specific circumference measurements for the chest, waist, hips, arms, and legs. Gathering baseline data ensures treatments are tailored safely and effectively to each client's unique profile.
Designed to protect both the provider and the client, the form also incorporates essential consent documentation and signature approvals. Practitioners can easily review client goals and medical history before the session begins. With Doc2Form, you can instantly convert and customize this template into your Google Drive, eliminating clipboards and paper clutter while keeping client records organized and accessible.
Key features
- Collect detailed body measurements and baseline metrics in one structured layout.
- Document prior body sculpting and aesthetic treatments easily.
- Include dedicated fields for client and therapist sign-offs and terms agreement.
- Track progress over time with organized pre- and post-treatment data.
- Fully customizable to match your clinic or spa branding.
Use cases
- Initial consultations at medical spas and aesthetic clinics.
- Baseline tracking for personal trainers and body sculpting specialists.
- Pre-treatment intake for specialized skin and body wellness programs.
What this form collects
- Assessment Date (Date)Select today's date.
- Full Name (Short answer)Enter your first and last name.
- Email Address (Short answer)Enter the best email to reach you for follow-ups and appointment details.
- Primary Areas of Concern (Checkboxes)Select all body or skin areas you would like to focus on during your treatment.
- Details on Areas of Concern (Paragraph)Provide a brief description of what you would like to improve or address in these areas.
- Prior Body Sculpting or Aesthetic Treatments (Paragraph)Have you received any treatments in your target areas before? If yes, please describe what you had done and when.
- Visual Reference Document (Paragraph)Please paste a link to your file (Google Drive, Dropbox, etc.) or describe any reference photos you wish to share.
- Current Weight (lbs) (Short answer)Enter your current approximate weight.
- Current BMI (if known) (Short answer)Enter your Body Mass Index if you know it, or leave blank.
- Chest Measurement (Short answer)Enter your current chest measurement in inches.
- Waist Measurement (Short answer)Enter your current waist measurement in inches.
- Hip Measurement (Short answer)Enter your current hip measurement in inches.
- Arm Measurements (Short answer)Enter your current arm circumference measurements in inches.
- Leg Measurements (Short answer)Enter your current thigh and calf measurements in inches.
- Client Consent and Signature (Short answer)By typing your full name below, you confirm that the information provided is accurate and you consent to the assessment and treatment policies.
- Therapist Review Notes and Signature (Paragraph)For practitioner use only: enter notes and validating signature.
FAQ
How do I customize this body assessment template for my clinic?
You can instantly convert this template into Google Forms using Doc2Form, where you can easily add, remove, or edit measurement fields and questions to fit your specific treatments.
Can clients fill this out on their mobile phones?
Yes. Because the form runs on Google Forms, clients can easily complete the assessment on their smartphone, tablet, or computer before arriving for their appointment.
Where are the assessment responses stored?
All submitted data is automatically routed to a secure Google Sheet linked to your form, making it simple to track client progress and review measurements over time.
How do I handle client signatures?
You can include a text confirmation field where clients type their full name to acknowledge and consent to your treatment terms and policies.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.