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Wellness Survey
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With Modern Metro Theme
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"Wellness Survey Form"

Quick, Customizable, Effective: That’s a Wizara Form!
Wellness Survey Form Template

Unlock the potential of personalized health insights with our detailed Wellness Survey Form. Designed for ease and confidentiality, this form offers a comprehensive assessment of individual health habits, dietary patterns, exercise frequency, smoking and drinking habits, as well as personal wellness goals. Use this form to elevate the way you interact with clients, gather essential health data, and help others on their journey to personal wellness. Adding the Modern Metro theme to your Wellness Survey form will introduce a refreshing, minimalist aesthetic with borderless inputs and a soothing powder blue background, creating a modern, user-friendly experience that enhances user engagement. Ready to get started? Get started building your form with Wellness Survey and Modern Metro right now!

Get Started Using This Form Template

Wellness Survey Features

Elevate Wellness Insights
Elevate Wellness Insights
Unlock personalized health data with our Wellness Survey Form, tailored for comprehensive health assessments.
Optimize Health Strategies
Optimize Health Strategies
Collect nuanced data to enhance wellness programs and services with our detailed survey form.
Engage Clients Effectively
Engage Clients Effectively
Interact seamlessly with clients, gather vital health info, and support their wellness journey effortlessly.
Streamlined User Experience
Streamlined User Experience
"Modern Metro" theme offers a minimalist aesthetic for a modern, user-friendly form experience.
Enhance Visual Appeal
Enhance Visual Appeal
Borderless inputs, rounded corners, and soothing colors create a standout form design for a sleek look.
Versatile Design Flexibility
Versatile Design Flexibility
Adaptable for light/dark mode, the "Modern Metro" theme suits various website styles for a contemporary touch.
Wellness Survey Form Template
Customizable Form Fields
You can add, remove or re-arrange form fields when using our form builder app.
title (html-block)
title
name* (text, input)
Full Name
email* (email)
Email Address
exerciseFrequency* (select, dropdown)
How often do you exercise?
dietType* (select, dropdown)
What type of diet do you follow?
smoke* (boolean, buttons)
Do you smoke?
drink* (boolean, buttons)
Do you drink alcohol?
healthGoals* (text, textarea)
What are your health and wellness goals?

Try Out the Form for Yourself!

Experience Ease and Flexibility Across Multiple Devices and Screens

The form below is using our "Modern Metro" form theme. You can change the colors and the theme using the Wizara Form Builder app.