すべてのテンプレート
Privacy & Compliance

Spa Treatment Consent & Client Intake Survey

Captures whether spa clients truly understand and freely consent to treatment risks, health disclosures, and photo or data use before their appointment — built for spa managers and compliance teams. The AI follow-up interview explores any hesitation or confusion behind risk-factor answers instead of settling for a checked box.

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全12問・約7分
Q01
メッセージ

Welcome! Before your treatment, we need a few quick confirmations about your health and consent to keep you safe and to make sure our records are accurate. Your responses are completely confidential and anonymized. This takes about 7 minutes.

Q02
同意必須

Please review and confirm your consent for today's treatment.

Q03
マトリクス必須

Do any of the following currently apply to you? This helps our therapists choose safe products and techniques.

6行 × 3列
  • Pregnant or breastfeeding
  • Currently taking blood thinners or blood-clotting medication
  • Diagnosed skin condition (e.g., eczema, psoriasis, active acne)
  • Known allergy to any oils, fragrances, or skincare ingredients
  • Recent surgery, Botox, or filler injections in the past 2 weeks
  • ほか1件
列: Yes · No · Not sure
Q04
自由回答(長文)

If you answered 'Yes' or 'Not sure' to anything above, please describe it briefly so we can plan your treatment safely.

Q05
オピニオンスケール必須

Before you agreed to the consent form, how clearly were the treatment's risks and what to expect explained to you?

スケール: 1 – 5
最小:Not clear at all最大:Extremely clear
Q06
同意必須

We'd also like your permission to use photos or video from your visit.

Q07
オピニオンスケール必須

How comfortable are you with us storing your health and treatment history on file for future visits?

スケール: 1 – 5
最小:Very uncomfortable最大:Very comfortable
Q08
AIインタビュー

If the respondent marked 'Yes' or 'Not sure' on any health/risk item, or rated clarity or data comfort at 3 or below, probe specifically what concerns or confusion they still have and whether they felt pressured to sign before fully understanding it. Ask what one change to the consent process or explanation would make them feel most confident agreeing. If everything was clear and comfortable, briefly confirm what made the explanation work well so it can be repeated with other clients.

Q09
評価スケール必須

Overall, how confident do you feel that you understood what you were agreeing to today?

範囲: 1 – 5
最小:Not confident at all最大:Extremely confident
Q10
選択式

Which age range best describes you? (Optional, helps us track consent understanding across groups)

  • Under 18
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65+
  • Prefer not to say
Q11
選択式

How do you describe your gender? (Optional)

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q12
メッセージ

Thank you for confirming these details! Your answers are stored securely with your treatment record to keep you safe and to help us improve how clearly we explain consent to every client.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Goes beyond a static consent checkbox by using an AI follow-up interview to explore any hesitation or confusion behind 'Yes'/'Not sure' health and risk-factor answers
  • Includes a dedicated opinion-scale question rating how clearly risks were explained, giving compliance teams a real signal on comprehension, not just signature capture
  • Separately captures consent for treatment and consent for photo/video use, plus comfort level with health data storage, so each consent type is tracked distinctly
  • Auto-generates a report and applies quality scoring to responses, helping spa managers spot low-confidence or rushed consents before appointments

Jotform

Facial Client Intake and Consent Form Template

A ready-to-field intake and consent form specifically for facial treatments, covering health history and signature-based consent. It's built for quick digital paperwork rather than for probing whether the client actually understood what they signed. Good fit for basic intake logistics but not for consent-quality assurance.

優れている点

  • Purpose-built for facial/spa-style treatment intake
  • Simple, fast digital form replacing paper intake sheets
  • Likely customizable within Jotform's form builder ecosystem

物足りない点

  • Static form with no adaptive follow-up when a client marks a health risk or hesitates
  • No mechanism to measure or score how clearly the client understood the risks they consented to
  • No published methodology for how responses are validated or interpreted

SurveySparrow

Client Consent Form Template | Ensure Legal Compliance

A general-purpose client consent form template positioned around legal compliance, not specific to spa or health-service intake. Useful as a generic consent-capture starting point but would need heavy customization for treatment-specific risk disclosures. Framed as a fielding-ready template rather than a comprehension-diagnostic tool.

優れている点

  • Emphasizes legal-compliance framing, appealing to risk-averse teams
  • General template adaptable across multiple industries, not just spas
  • Part of a broader survey platform with standard reporting

物足りない点

  • No spa/treatment-specific content around risk factors or health disclosures out of the box
  • No adaptive interview to dig into hesitant or unclear consent answers
  • No transparent, per-response quality scoring of understanding

Typeform

Client Consent Form Template

A generic, conversational-style consent form template rather than a spa- or treatment-specific intake instrument. It's fielding-ready for capturing a signed consent but doesn't address health-risk disclosure or photo/data consent as separate layers. Best suited as a starting point that would need significant rebuilding for spa compliance use cases.

優れている点

  • Clean, conversational one-question-at-a-time UI that can reduce form fatigue
  • Flexible template usable across many client-facing consent scenarios
  • Established platform with broad integration options

物足りない点

  • No built-in health/risk-factor matrix or separate photo/data consent flow
  • No adaptive AI probing when a client's answer suggests confusion or hesitation
  • No transparency into how consent understanding is scored or reported

よくあるご質問

「Spa Treatment Consent & Client Intake Survey」テンプレートにはどのような設問が含まれていますか?

すぐに使える設問が12問含まれており、最初の設問は次のとおりです:「Welcome! Before your treatment, we need a few quick confirmations about your health and consent to keep you safe and to…」・「Please review and confirm your consent for today's treatment.」・「Do any of the following currently apply to you? This helps our therapists choose safe products and techniques.」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか?

回答者は通常、12問を約7分で回答し終えます。

テンプレートは編集できますか?

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか?

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか?

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

関連テンプレート

似たテーマのほかの調査もご覧ください。

すべて見る