The Mental Health Survey opens with a welcome screen explaining its early-identification purpose before asking eight questions across key wellness dimensions. It begins with "How would you describe your overall mood and sense of well-being today?" to capture a personal, unfiltered baseline in the respondent's own words, then moves through rated stress, sleep quality, loss of enjoyment, concentration, anxiety frequency, and perceived social support — each chosen to flag a distinct and clinically recognised area of concern. The optional "Is there anything else you would like to share about your mental health or current well-being?" question at the end gives respondents space to raise anything the structured questions didn't cover. After submitting, respondents see a brief thank-you screen acknowledging the value of their input.
Try the conversation below to see how this template works
Trusted by over 10,000 customers and growing
Conversations Started
Questions Answered
Forms Created
Relies on the "How often do you feel nervous, anxious, or on edge?" and "Do you feel you have adequate social support from friends, family, or colleagues?" questions to spot employees who may need referrals or peer-support programmes.
Uses the sleep, concentration, and loss-of-interest questions together as a structured intake screen to help clinicians prioritise follow-up conversations before a first appointment.
Depends on the open-ended mood question and the optional closing question to surface student concerns in the respondent's own words, where structured options alone might miss the full picture.
AI builds and refines your form through natural conversation no templates, no complex logic, no coding. From a simple text prompt or URL, Dashform generates intelligent flows that adapt automatically.
Dashform turns traditional form-filling into a two-way dialogue. The AI understands intent, remembers context, and asks relevant follow-up questions just like a real human conversation.
Every response is transformed into structured, meaningful, and ready-to-use data. Integrate with your favorite tools.
Everything you need to create amazing forms
Everything you need to know about this template
Don't see exactly what you need? Use our AI Form Generator to create a custom form in seconds. Just describe what you want, and AI will build it for you.
Explore more templates to find the perfect fit
Food OrderPlace a pumpkin cheesecake order by sharing your contact info, quantity, preferred date, and pickup or delivery preference.
Purchase OrderA structured request form that gives approvers everything they need to review and process a purchase order straight away.
EvaluationReport a product or part defect with severity, scope, and corrective action recommendations for fast QA triage.
Quote RequestCollect project details, timeline, and budget from prospective clients so you can prepare and send an accurate quote.
OtherEnter raffle ticket preferences and a requested quantity for an organizer to review separately.
HrNominate a colleague for recognition by describing their achievement, its impact, and the category that fits best.
Learn how to get the most out of your forms and templates
How wedding planners can use AI quiz funnels to attract and qualify couples online by style, budget, and timeline, and walk into consultations prepared. Step-by-step implementation guide.
A conversational form asks one question at a time, like a person would. The three kinds, worked examples, when they beat a regular form, and when they don't.
AI forms generate themselves from a sentence, ask follow-up questions, and qualify leads while collecting data. How they work, when to use one, and when a regular form is fine.
Try the world's first AI-native form and turn every response into action instantly.