Survey · School

Student mental health check-in survey template

Opens by saying who reads the answers and where to go if help is needed right away. The questions cover mood, sleep, workload and belonging in plain words, and the last one asks whether the student would like to talk to someone: only those who say yes are asked for contact details, and they get their own reassuring ending.

9 questions~3 min to answer1 branch2 endings
student mental health surveywellbeing check-instudent wellbeingpastoral careschool counselling
Use this template

Try it live

Try it as a respondent

Every question, and where it leads

The conversation

What a respondent is asked, in order.

Hi. This is a quick check-in on how things are going for you. There are no right answers, and it takes about three minutes.

1

Which year group are you in?

Dropdown · optional
2

Overall, how have you been feeling over the past two weeks?

Opinion scale · required
3

Over the past two weeks, how often has each of these been true for you?

Matrix · required
4

Is anything weighing on you at the moment?

Multi select · optional
5

What has helped you get through a tough day lately?

Long text · optional
6

Is there anything school could do that would make things a bit easier?

Long text · optional
7

Would you like to talk to someone from the support team?

Single select · requiredsplits the flow
8

What's your name, so the right person can find you?

Short text · requiredsometimes asked
9

How would you prefer they reach you?

Single select · requiredsometimes asked

Endings

Thanks for checking in

Thank you for telling us 💛

The flow

Where each answer leads. Every route here is editable once the form is yours.

A labelled route is taken only by answers matching the label

What this template uses

  • Dropdown
  • Opinion scale
  • Matrix
  • Multi select
  • Long text
  • Single select
  • Short text
  • 1 branch
  • 2 endings

Questions to consider

  • Who reads the responses, how quickly, and does the opening screen say so honestly?
  • What is your school's route for urgent concerns, and is it written on the first screen?
  • Should the check-in be anonymous unless a student asks to talk, as this template is?
  • Has your safeguarding or pastoral lead approved the questions and the follow-up process?

How to use the responses

Check requests to talk first, every time, and follow up in the way the student chose. Then look at the grid by year group to spot patterns such as poor sleep before exams or a year where belonging drops. Treat the answers as a starting point for a conversation, not an assessment, and follow your school's safeguarding procedure for anything that raises concern.

How to customize and share it

  1. 1Rewrite the opening screen with your support team's name, when answers are read and how to get urgent help.
  2. 2Change the year groups and the ways to be contacted to match your school.
  3. 3Share the link at the same point each term, such as tutor time, so you can compare results over the year.

Frequently asked questions

What questions should a student mental health check-in include?

How the student has been feeling, how they are sleeping and coping with work, whether they feel they belong, what is weighing on them and whether they would like to talk to someone.

Is a wellbeing check-in a mental health assessment?

No. It is a way to start a conversation and spot students who want support. It does not diagnose anything or replace a professional assessment.

Should a student wellbeing survey be anonymous?

Anonymous answers tend to be more honest, so this template only asks for a name when a student asks to talk. Make sure the opening screen explains that.

How often should schools run a wellbeing check-in?

Regularly enough to notice change, such as once or twice a term, and at the same point each time so the results can be compared.

Related templates

All school surveys
  • Student demographics survey

    Survey · School11 questions~4 min

    Background questions that help you plan support, each one optional and easy to skip.

    student demographics surveystudent background surveyeducation research
  • School climate survey

    Survey · School11 questions~3 min

    One survey for students, parents and staff on safety, respect, belonging and support.

    school climate surveyschool culture surveystudent safety survey
  • Student feedback survey

    Survey · School14 questions~4 min

    Feedback from students on a class, separating teaching from material, with follow-ups on pace.

    student feedback surveyteacher feedback from studentsteaching feedback
  • Online suggestion box

    Form · Business10 questions~3 min

    Collect improvement ideas with enough context to act on, named or anonymous.

    online suggestion boxemployee suggestionsanonymous feedback
  • Contact us form

    Form · Contact12 questions~3 min

    A general contact form that sorts the inbox as it fills it.

    contact us formwebsite contact formgeneral enquiry
  • Complaint form

    Form · Contact12 questions~4 min

    Record what happened, its impact and the outcome the person wants, in their own words.

    complaint formformal complaintreport a problem

Ask like a person. Watch them finish.