Mental Health History Questionnaire Template

Using the Mental Health History Questionnaire Template, doctors and care providers can form a close connection with their patients. It helps them know their personal details beforehand, and find out if they have any history of mental health or not to deliver better care. Click on the 'Use this template' and start gathering your feedback.

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How does this Mental Health History Questionnaire Template help?

Talking about mental health isn't a very easy discussion. However, knowing the mental health history of patients is crucial for doctors to rule out different possibilities and offer the right treatment. And this can be done privately using the Mental Health History Questionnaire Template. Click on the ‘Use this template’ and start gathering feedback.

How to Use this Mental Health History Questionnaire Template?

The Mental Health History Questionnaire Template is specifically designed to get patients to open up about their mental health. It comes with five very straightforward questions that ask for the visitor's personal details like name and date of birth, and the next question asks about any mental health illness in the family. The data can be analyzed to diagnose the visitor and even offer better care.

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2 Questions

2Screens

30 secs to complete

List of Mental Health Questionnaire Questions

The following questions are included in this Mental Health History Questionnaire Template.

What is your first name?
And your last name?
What's your date of birth?

If you're looking at capturing patients' mental history, you can add more questions to the Mental Health History Questionnaire. You can also integrate to your tools and pass data while taking feedback using this Mental Health History Questionnaire Template.

FAQs about Mental Health History Questionnaire Template

1. How does a mental health history questionnaire help my patients?

Receiving a questionnaire during the intake process allows the patients to think clearly, without the stress of having to think on the spot. Peace of mind during an appointment is always a healthy way to begin. This mental health history questionnaire asks one question at a time.

2. Where can I use this Mental Health History Questionnaire Template?

You can use a QR code at your touchpoint. Another method is to send an email or SMS survey to the customer once the service is completed. If you don't have access to the internet, you can conduct offline surveys using kiosks, mobile devices, or tablets.

Create and send this Mental Health History Questionnaire Template