Importing Standard Forms
We understand that creating intake questionnaires and assessments from scratch can be difficult, so we have standardized forms available with some typical questions that would be asked for various business types.
You have the ability to browse our library of standard forms to import into your account. These forms can then be used as they are, or modified to suit your specific needs. Let's take a look at how to access this:
Import Standard Forms
- Login to your IntakeQ account and click on "My Forms" in the top menu.
- Click on the "Standard Forms" button in the upper right corner of the page.
- Browse the list of specialties, you can click on the box itself to preview how the form will look Click "Import" on the one you'd like to add to your account.
- To view more about our scored assessments, click here.
- You will see that this intake and any associated consent forms will now appear in your account under "My Forms".
Choose the specialty for the form:
Search, view, and import with a single click then add the questionnaire to your 'My Forms' list:
Click the arrow icon to preview the form in a new window:
Editing a Form
From the "My Forms" screen, clicking on one of the form boxes will take you into the edit mode for that specific form. Here, you can adjust the questions to suit your own needs. Below are some helpful articles in regards to editing intake forms:
- "Mixed Controls" for a Better Layout
- How to Rearrange Questions (Move Up/Down)
- Things You Can Do with the E-Signature Question Type
- Using File Attachments
- Drawing Questions
- How to Add Consent Forms to an Intake Questionnaire
In addition to our standard forms, we have a library of standard questions you can import into your intake questionnaires as well. Learn how to use these here: How to Use the Questions Library
Standard Forms List
The following are currently available in the Standard Forms area and are importable for free into your account.
| Form Name | Preview | Import | |
|---|---|---|---|
| Acupuncture | Form | Acupuncture: Brief Intake Form | |
| Acupuncture | Form | Acupuncture: Full Intake Form | |
| Chiropractic | Form | Workers Compensation Intake Questionnaire | |
| Chiropractic | Form | Personal Injury Intake Questionnaire | |
| Chiropractic | Form | Upper Extremity Pain Questionnaire (UEFI) | |
| Chiropractic | Form | Fear Avoidance Belief Questionnaire (FABQ) | |
| Chiropractic | Form | The Lower Extremity Functional Scale (LEFS) | |
| Chiropractic | Form | Neck Disability Index (NBI) | |
| Chiropractic | Form | Shoulder Pain and Disability [SPADI] | |
| Chiropractic | Form | Disability of the Arm, Hand & Shoulder (DASH) | |
| Chiropractic | Form | Dizziness Handicap Inventory (DHI) | |
| Chiropractic | Form | Hip Rating Questionnaire | |
| Chiropractic | Form | Subjective Knee Score Questionnaire | |
| Chiropractic | Form | Walking Scale Questionnaire | |
| Chiropractic | Form | Neck Bournemouth Questionnaire | |
| Chiropractic | Form | Back Bournemouth Questionnaire | |
| Chiropractic | Form | Automobile Accident Questionnaire | |
| Chiropractic | Form | Chiropractor: Full Intake Form | |
| Chiropractic | Form | Chiropractic: Pediatric Health History | |
| Optometry | Form | Brain Injury Vision Symptom Survey (BIVSS-28) | |
| Optometry | Form | Optomometry Intake Form | |
| Mental Health | Form | General Anxiety Disorder-7 (GAD-7) | |
| Mental Health | Form | Generalized Anxiety Disorder (GAD-7) Spanish | |
| Mental Health | Form | Patient Health Questionnaire - 2 (PHQ-2) | |
| Mental Health | Note | Mental Health - Treatment Plan | |
| Mental Health | Note | Mental Health - Discharge Summary | |
| Mental Health | Form | Patient Health Questionnaire - 9 (PHQ-9) Spanish | |
| Mental Health | Note | SOAP Notes | |
| Mental Health | Note | Mental Health - Progress Note | |
| Mental Health | Form | Patient Health Questionnaire - Modified for Teens (PHQ-A) | |
| Mental Health | Note | Mental Health - Initial Assessment | |
| Mental Health | Form | Patient Health Questionnaire - 4 (PHQ-4) | |
| Mental Health | Note | Suicide Safety Plan | |
| Mental Health | Form | Patient Health Questionnaire - 8 (PHQ-8) | |
| Mental Health | Form | Patient Health Questionnaire - 15 (PHQ-15) | |
| Mental Health | Form | Appearance Anxiety Inventory (AAI) | |
| Mental Health | Note | Ketamine Administration Note | |
| Mental Health | Form | Adult Attachment Questionnaire (AAQ) | |
| Mental Health | Form | Screen for Child Anxiety Related Disorders - Child (SCARED) | |
| Mental Health | Form | Screen for Child Anxiety Related Disorders - Parent (SCARED) | |
| Mental Health | Form | Camouflaging Autistic Traits Questionnaire (CAT-Q) | |
| Mental Health | Form | International Trauma Questionnaire (ITQ) | |
| Mental Health | Form | Social Avoidance and Distress Scale (SADS) | |
| Mental Health | Form | NICHQ Vanderbilt Assessment Scale - Parent | |
| Mental Health | Form | NICHQ Vanderbilt Assessment Scale - Teacher | |
| Mental Health | Form | Weiss Functional Impairment Rating Scale - Self-Report (WFIRS) | |
| Mental Health | Form | Functional Analysis Screening Tool (FAST) | |
| Mental Health | Form | Dissociative Experiences Scale (DES-II) | |
| Mental Health | Form | PTSD Checklist for DSM-5 (PCL-5) | |
| Mental Health | Form | PTSD Checklist - Civilian (PCL-C) | |
| Mental Health | Form | Depression Anxiety Stress Scale - Youth (DASS-Y) | |
| Mental Health | Form | Depression Anxiety Stress Scale (DASS-21) | |
| Mental Health | Form | Drug Abuse Screening Test (DAST-10) | |
| Mental Health | Form | Personal Wellbeing Index (PWI-A) | |
| Mental Health | Form | Pittsburg Insomnia Rating Scale (PIRS-20) | |
| Mental Health | Form | Life Events Checklist (LEC-5) | |
| Mental Health | Form | Rapid Mood Screener (RMS) | |
| Mental Health | Form | Mood Disorder Questionnaire (MDQ) | |
| Mental Health | Form | Questions About Behavioral Function (QABF) | |
| Mental Health | Form | Adverse Childhood Events Scale (ACES) | |
| Mental Health | Form | Perceived Stress Scale (PSS-10) | |
| Mental Health | Form | Columbia-Suicide Severity Rating Scale (C-SSRS) | |
| Mental Health | Form | Suicide Behaviors Questionnaire (SBQ-R) | |
| Mental Health | Form | Alcohol Use Disorders Identification Test (AUDIT-C) | |
| Mental Health | Form | Michigan Alcohol Screening Test (MAST) | |
| Mental Health | Form | Short Michigan Alcohol Screening Test (SMAST) | |
| Mental Health | Form | Michigan Alcohol Screener - Geriatric (MAST-G) | |
| Mental Health | Form | Self-Administered Alcoholic Screening Test (SAAST-R) | |
| Mental Health | Form | Clinical Outcomes in Routine Evaluation 10 (CORE-10) | |
| Mental Health | Form | Critical Outcomes in Routine Evaluation (CORE OM) | |
| Mental Health | Form | The Tobacco, Alcohol, Prescription Medications, and other Substance Tool (TAPS I & II) | |
| Mental Health | Form | The Tobacco, Alcohol, Prescription Medications, and other Substance Tool (TAPS 1) | |
| Mental Health | Form | The Tobacco, Alcohol, Prescription Medications, and Other Substance Tool (TAPS 2) | |
| Mental Health | Form | Obsessive Compulsive Drinking Scale (OCDS) | |
| Mental Health | Form | Wender Utah Rating Scale (WURS) | |
| Mental Health | Form | Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL) | |
| Mental Health | Form | Perinatal Anxiety Screening Scale (PASS) | |
| Mental Health | Form | Hamilton Anxiety Rating Scale (HAM-A) | |
| Mental Health | Form | Adult ADHD Self-Report Scale (ASRS-v1.1) | |
| Mental Health | Form | Edinburgh Postnatal Depression Scale 1 (EPDS) | |
| Mental Health | Form | Lifetime Suicide Attempt Self-Injury (L-SASI) | |
| Mental Health | Form | Columbia Impairment Score Youth (CIS-Y) | |
| Mental Health | Form | Columbia Impairment Scale (CIS-P) Parent | |
| Mental Health | Form | Zung Self-Rating Anxiety Scale (SAS) | |
| Mental Health | Form | Professional Quality of Life Scale (ProQOL) | |
| Mental Health | Form | The Swanson, Nolan and Pelham Teacher and Parent Rating Scale (SNAP-26) | |
| Mental Health | Form | Preschool Anxiety Scale (PAS) | |
| Mental Health | Form | Child PTSD Symptom Scale (CPSS) | |
| Mental Health | Form | SCOFF Questionnaire | |
| Mental Health | Form | Substance Abuse Screening Tool (CAGE-AID) | |
| Mental Health | Form | Problem Gambling Severity Index (PGSI) | |
| Mental Health | Form | Brief Biosocial Gambling Screen (BBGS) | |
| Mental Health | Form | Mental Health: Brief Intake Form | |
| Mental Health | Form | Mental Health: Full Intake Form | |
| Mental Health | Form | Mental Health: Minor Assessment Form | |
| Mental Health | Form | Ketamine Intake Form | |
| Mental Health | Form | Couples Satisfaction Index (CSI-4) | |
| Mental Health | Form | Couples Satisfaction Index - 8 (CSI-8) | |
| Mental Health | Form | Couples Satisfaction Index - 16 (CSI-16) | |
| Mental Health | Form | Couples Satisfaction Survey - 32 (CSI-32) | |
| Mental Health | Form | Couples Counseling Intake Form | |
| Mental Health | Form | Counseling Intake Form | |
| Mental Health | Form | Abnormal Involuntary Movement Scale (AIMS) | |
| Mental Health | Form | Preschool Anxiety Scale (PAS) | |
| Speech Therapy | Form | Speech Therapy: Childhood Developmental History | |
| Speech Therapy | Form | Speech Therapy: Pediatric Sleep Questionnaire | |
| Dental | Form | Dental: Brief Intake Form | |
| Dental | Form | Dental: Full Intake Form | |
| Dietician | Form | Dietician: Brief Intake Form | |
| Dietician | Form | Dietician: Full Intake Form | |
| Dietician | Form | Food Allergies and Diet Restrictions | |
| Dietician | Form | Nutri-Systems Profile | |
| Physical Therapy | Form | Physical Therapy: Brief Intake Form | |
| Physical Therapy | Form | Physical Therapy: Full Intake Form | |
| Physical Therapy | Form | 36-Item Short Form Survey Instrument (SF-36) | |
| Physical Therapy | Form | Hip Disability and Osteoarthritis Outcome Score (HOOS) | |
| Physical Therapy | Form | Knee Injury and Osteoarthritis Outcome Score (KOOS) | |
| Physical Therapy | Form | PENN Shoulder Score (PSS) | |
| Physical Therapy | Form | Fatigue Assessment Scale (FAS) | |
| Medical | Form | Pediatric: Brief Intake Form | |
| Medical | Form | Pediatric: Full Intake Form | |
| Medical | Form | Medical: Brief Intake Form | |
| Medical | Form | Medical: Full Intake Form | |
| Medical | Form | International Prostate Symptom Score (I-PSS) | |
| Massage | Form | ADAM Questionnaire (Androgen Deficiency in the Aging Male) | |
| Massage | Form | IV Therapy Intake Form | |
| Massage | Form | Massage Therapy: Brief Intake Form | |
| Massage | Form | Massage Therapy: Full Intake Form | |
| Massage | Form | Yoga: Full Intake Form | |
| Other | Form | Insurance Benefits | |
| Other | Form | Insurance Authorization | |
| Other | Form | Root Cause Questionnaire | |
| Other | Form | Naturopathy: Full Intake Form | |
| Other | Form | COVID-19 Health Screen Form | |
| Other | Form | Demographic Information Sheet | |
| Other | Form | Release of Information - ROI |