Mood Tracking Google Form Template

Survey & Poll6 minUpdated

A free Google Form template for therapists, counselors, and mental health professionals to track client emotional states, triggers, and daily well-being.

Live form

Embedded Google Form. Scroll inside the frame to see all questions.

About this template

Understanding emotional patterns is a critical component of effective mental health care, counseling, and wellness coaching. This Mood Tracking Google Form template is designed to help mental health professionals, therapists, and wellness practitioners easily gather insight into clients' daily emotional states, frequency of feelings, and personal triggers. Instead of relying solely on in-session recollections, providers can use this structured questionnaire to capture consistent data over time, making it easier to identify trends, evaluate treatment progress, and tailor therapeutic interventions.

The form collects vital information including current emotional ratings, frequency of specific feelings like happiness, sadness, or frustration, and the underlying triggers or causes associated with those moods. It also explores sensory connections, such as colors that influence positive or negative feelings, offering a holistic view of the respondent's mental landscape. Whether used for weekly check-ins, telehealth preparation, or personal wellness journaling, this template streamlines data collection and helps practitioners focus on meaningful discussions during sessions. With Doc2Form, you can instantly deploy this template to Google Forms, customize the questions to fit your practice, and review responses securely in one organized place.

Key features

  • Capture daily or weekly emotional states in a structured format.
  • Identify key triggers for happiness, sadness, and anxiety.
  • Track frequency ratings for specific emotions over time.
  • Explore sensory associations like positive and negative mood colors.
  • Instantly convert this template into a ready-to-use Google Form.

Use cases

  • Weekly therapy client check-ins and session preparation.
  • Telehealth mental health intake and ongoing progress tracking.
  • School counseling programs monitoring student emotional well-being.
  • Corporate wellness initiatives supporting employee mental health.

What this form collects

  • Full Name (Short answer)Enter your first and last name.
  • Date of Birth (Date)Enter your date of birth.
  • Gender (Dropdown)Select the option that best describes your gender identity.
  • Current Feeling Rating (Linear scale)How would you rate your overall mood right now?
  • Positive Mood Color (Short answer)Which color or colors tend to make you feel positive or energized?
  • Negative Mood Color (Short answer)Which color or colors tend to make you feel uneasy or negative?
  • Happiness Frequency (Multiple choice)How often have you experienced feelings of happiness recently?
  • Sadness Frequency (Multiple choice)How often have you experienced feelings of sadness recently?
  • Rage or Frustration Frequency (Multiple choice)How often have you experienced feelings of rage or intense frustration recently?
  • Boredom Frequency (Multiple choice)How often have you experienced feelings of boredom or apathy recently?
  • Happiness Triggers (Paragraph)What specific events, activities, or thoughts tend to trigger happy feelings for you?
  • Sadness Causes (Paragraph)What specific events, situations, or thoughts tend to trigger sad feelings for you?
  • Annoyance Triggers (Paragraph)What situations or interactions tend to cause annoyance or frustration?
  • Additional Thoughts (Paragraph)Share any other thoughts, feelings, or details you would like to note about your mental well-being.

FAQ

How can I customize this mood tracking template?

Once you import the template into Doc2Form, you can edit, add, or remove any questions directly within Google Forms to match your clinical or personal tracking needs.

Is this form suitable for remote clients and telehealth?

Yes. The digital format makes it ideal for sending to clients via a simple link before virtual appointments, ensuring you have up-to-date insights before your session begins.

Can I use this form for multiple clients over time?

Absolutely. You can collect ongoing submissions from multiple respondents, with all answers organized neatly in your connected Google Sheets spreadsheet.

What kind of information does this form capture?

It collects current emotional ratings, frequency of specific feelings, recognized triggers for different moods, and open-ended reflections on the respondent's mental state.

How do I share this form with respondents?

You can share the Google Form via a direct web link, email invitation, or by embedding it directly into your practice's website or client portal.

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.

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