About this template
Collecting thorough and accurate information from program participants is essential for ensuring safety, tailoring support, and measuring outcomes. This Participant Intake Google Form template streamlines the entire onboarding process by replacing cumbersome paper forms and fragmented emails with a single, structured digital questionnaire. Program organizers, workshop facilitators, and community leaders use this form to gather critical participant details, including personal contact information, emergency contacts, relevant medical or mental health history, current stress levels, and personal goals for the program.
By moving your intake process to Google Forms using Doc2Form, you eliminate manual data entry errors and securely store all responses in a centralized spreadsheet. The form covers comprehensive background areas such as physical and mental health history, coping mechanisms, support networks, and specific intentions for the program, ensuring you have all the context needed to provide a safe and supportive environment. Whether you are running intensive workshops, wellness retreats, educational programs, or community support groups, this ready-to-use template saves hours of administrative time so you can focus entirely on delivering a great experience for your participants.
Key features
- Collect complete personal and emergency contact details in one organized step.
- Gather vital health, medication, and wellness background safely and privately.
- Understand participant goals, stress levels, and support systems before day one.
- Instantly convert this template into a live Google Form using Doc2Form.
- Automatically organize all participant submissions in a connected Google Sheet.
Use cases
Workshops and wellness retreats requiring detailed health and backgro…
Workshops and wellness retreats requiring detailed health and background intake.
Community support programs and nonprofit initiatives registering new …
Community support programs and nonprofit initiatives registering new participants.
Specialized coaching or therapeutic group sessions requiring goal and…
Specialized coaching or therapeutic group sessions requiring goal and stress assessments.
What this form collects
- Full Name (Short answer)Enter your first and last name as you would like to be addressed.
- Birth Date (Date)Enter your date of birth (MM/DD/YYYY).
- Address (Paragraph)Provide your current residential address.
- Phone Number (Short answer)Enter the best phone number to reach you.
- Email Address (Short answer)Enter your primary email address for program updates.
- Emergency Contact Full Name (Short answer)Enter the full name of someone we can contact in case of an emergency.
- Emergency Contact Phone Number (Short answer)Enter the direct phone number for your emergency contact.
- Program Experience & Background (Paragraph)Please describe any relevant prior experience or background you have with this type of work.
- Current Physical Health Issues (Paragraph)List any current physical health conditions, injuries, or medical concerns we should be aware of.
- Prescription Medications & Supplements (Paragraph)List any current prescription medications, supplements, or regular treatments you are taking.
- Allergies Requiring Treatment (Paragraph)List any severe allergies (food, medication, environmental) that require active management or treatment.
- Current Stress or Anxiety Rating (Linear scale)Rate your current level of stress or anxiety on a scale from 0 (none) to 10 (extreme).
- Primary Sources of Stress & Anxiety (Paragraph)Briefly describe the main sources of stress or anxiety in your life right now.
- Self-Care Practices & Support Network (Paragraph)Describe what you currently do for self-care and who is part of your support network.
- Goals for This Program (Paragraph)What do you hope to achieve, learn, or resolve by participating in this program?
- Additional Support Notes (Paragraph)Please share anything else you would like our team to know to support your participation.
- Acknowledgment & Signature (Short answer)Please type your full legal name to confirm that the information provided above is accurate.
FAQ
How do I use this template to create a Google Form?
With Doc2Form, you can instantly convert this template into a fully functional Google Form with just a click, ready to share with your participants.
Can I customize the questions to fit my specific program?
Yes! Once the form is generated in your Google account, you can freely add, remove, or edit any questions to match your exact program requirements.
Where are the participant submissions stored?
All responses are automatically saved in a secure Google Sheet linked directly to your Google Form, making it easy to review and manage data.
Is this participant intake form mobile-friendly?
Yes, Google Forms automatically optimize layout for all devices, allowing participants to complete their intake on phones, tablets, or computers.
How do I share the form with participants?
You can easily share your form by emailing the link directly to participants, embedding it on your website, or sharing it via messaging apps.
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.