About this template
A wellbeing check-in form is an essential tool for managers, HR professionals, and wellness coordinators to monitor and support the holistic health of team members or participants. This template covers multiple dimensions of wellness, including physical condition, work or study performance, social connections, and overall life satisfaction. It allows individuals to highlight their current strengths and voice any concerns they might be facing.
By gathering structured feedback on wellbeing, organizations can proactively identify burnout, offer targeted support, and gauge interest in upcoming wellness workshops or support sessions. With Doc2Form, you can instantly turn this comprehensive assessment into a ready-to-use Google Form, enabling secure, private submissions that help foster a supportive and healthy community or workplace environment.
Key features
- Assess holistic wellbeing across physical, mental, and social dimensions.
- Identify individual strengths and surface emerging concerns early.
- Gauge interest in wellness workshops and preferred session schedules.
- Collect confidential responses securely through Google Forms.
Use cases
- Remote team wellness and mental health check-ins.
- Student support and academic counseling intake sessions.
- Athletic team and sports club condition monitoring.
- Corporate HR pulse surveys and employee engagement initiatives.
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Physical Condition Satisfaction (Linear scale)How satisfied are you with your current physical health and energy levels?
- Physical Wellbeing Strengths (Paragraph)What is going well with your physical health right now?
- Physical Wellbeing Concerns (Paragraph)Do you have any physical health challenges or concerns you'd like to note?
- Work/Study Performance Status (Linear scale)How would you rate your current productivity and focus?
- Work/Study Strengths (Paragraph)What tasks or projects are going particularly well for you recently?
- Work/Study Concerns (Paragraph)Are there any blockers, stressors, or heavy workloads affecting your performance?
- Friend Connection Status (Linear scale)How satisfied are you with your level of social connection and support outside of work/study?
- Social Connection Strengths (Paragraph)Share any positive social interactions or supportive relationships keeping your spirits up.
- Social Connection Concerns (Paragraph)Do you feel disconnected or lack support in any area of your social life?
- Current Bubble Happiness Status (Linear scale)How happy are you with your immediate living situation or daily environment?
- Current Bubble Strengths (Paragraph)What is working well in your home or living environment?
- Current Bubble Concerns (Paragraph)Are there any tensions or challenges in your living environment?
- Overall Satisfaction Status (Linear scale)Overall, how satisfied are you with your life and routine at the moment?
- Overall Satisfaction Strengths (Paragraph)What brings you the most joy or stability right now?
- Overall Satisfaction Concerns (Paragraph)What is your biggest concern or stressor at this point in time?
- Online Workshops Interest Status (Multiple choice)Would you be interested in participating in online wellness workshops or support sessions?
- Preferred Session Time of Day (Dropdown)If you were to join a workshop, what time works best for you?
- Preferred Session Duration (Multiple choice)What session length do you prefer?
- Further Comments (Paragraph)Is there anything else you would like to share or any additional support you need?
FAQ
What is a wellbeing check-in form?
It is a structured questionnaire designed to assess an individual's physical, emotional, and social health, helping leaders understand how team members or participants are coping.
How can I customize this template?
Doc2Form instantly converts this template into Google Forms, where you can easily add, remove, or edit questions to fit your specific organizational needs.
Are the responses kept private?
All submissions go directly to your linked Google Sheet, giving you full control over data privacy, access permissions, and confidentiality.
Can I use this for remote employees or students?
Yes! The form can be shared easily via a link or QR code, making it ideal for remote teams, hybrid workplaces, and virtual learning environments.
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.