A ready-to-use conversational survey

Club and class wellness check-in template

A gentle wellness check-in for a club or class: sleep, food, time outside and energy, in a friendly chat that answers low energy with extra kindness.

6 questionsAbout 2 min1 branch2 endingsRead the template guide
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Free to customize. No code needed.

The real thing. Go ahead, try it.

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Vibe check-in ๐ŸŒฑ

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How did you sleep this week?

Hey, quick check-in. How are you, really? Six small questions ๐ŸŒฟ

How did you sleep this week?

A live preview of this template. Answer the first question to begin.

What's inside

Every question, and where it leads

  • Rating
  • Yes / No
  • Number
  • Long text
  • NPS
  • Opinion scale

The conversation

What a respondent is asked, in order.

Hey, quick check-in. How are you, really? Six small questions ๐ŸŒฟ

1

How did you sleep this week?

Ratingrequired
2

Have you eaten something proper today?

Yes / Norequired
3

Roughly how many hours did you spend outside this week? ๐ŸŒž

Numberoptional
4

Anything on your mind you want us to know?

Long textoptional
5

How likely are you to tell a friend to join us?

NPSoptional
6

Last one. Your energy right now?

Opinion scalerequiredsplits the flow

Endings

Glad you're doing okay ๐ŸŒป

Thanks for being honest ๐Ÿซถ

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

A little guidance

Make the most of your next ask.

Questions to consider for your club and class wellness check-in

  • Who reads the answers, and how quickly can they follow up on a low week?
  • Should this be anonymous, or do you need names to reach out?
  • Is weekly the right rhythm, or would every two weeks feel lighter?
  • Which real person or service should the low energy ending point to?

How to use the responses

Read the anything on your mind answers first and follow up personally where someone asks for help. Track the average energy and sleep each week to spot a group that is wearing down before exams or deadlines, and plan lighter sessions when it dips.

How to customize and share this template

  1. 1Add the name of a real contact or support service to the gentle ending.
  2. 2Rename the recommend question to your club or class.
  3. 3Send it on the same day each week so it becomes a habit.

Frequently asked questions

What happens when someone says their energy is low?

They get a softer ending that tells them it's okay and points them to someone they can talk to. You can add a specific contact there.

Is this a mental health screening?

No. It's a friendly check-in, not a clinical tool. If you need screening, use a validated questionnaire with a professional.

Can I make it anonymous?

Yes. There is no name question, so it is anonymous unless you add one.

A few more possibilities

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