Q01
Message
All templates
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.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
12 questions · ~7 min
Q02
ConsentRequired
Please review and confirm your consent for today's treatment.
Q03
MatrixRequired
Do any of the following currently apply to you? This helps our therapists choose safe products and techniques.
6 rows × 3 columns
- 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
- +1 more
Columns: Yes · No · Not sure
Q04
Long Text
If you answered 'Yes' or 'Not sure' to anything above, please describe it briefly so we can plan your treatment safely.
Q05
Opinion ScaleRequired
Before you agreed to the consent form, how clearly were the treatment's risks and what to expect explained to you?
Scale: 1 – 5
Min:Not clear at allMax:Extremely clear
Q06
ConsentRequired
We'd also like your permission to use photos or video from your visit.
Q07
Opinion ScaleRequired
How comfortable are you with us storing your health and treatment history on file for future visits?
Scale: 1 – 5
Min:Very uncomfortableMax:Very comfortable
Q08
AI Interview
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
Rating ScaleRequired
Overall, how confident do you feel that you understood what you were agreeing to today?
Range: 1 – 5
Min:Not confident at allMax:Extremely confident
Q10
Multiple Choice
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
Multiple Choice
How do you describe your gender? (Optional)
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q12
Message
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.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- 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 TemplateA 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.
What it does well
- Purpose-built for facial/spa-style treatment intake
- Simple, fast digital form replacing paper intake sheets
- Likely customizable within Jotform's form builder ecosystem
Where it falls short
- 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 ComplianceA 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.
What it does well
- 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
Where it falls short
- 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 TemplateA 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.
What it does well
- 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
Where it falls short
- 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
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.