Use our readymade template to create your Flourishing Scale (FS) for assessing psychological well-being
Create your care assessments
| FS score | Psychological Well-being |
|---|---|
| 8-19 | Very low |
| 20-31 | Low |
| 32-43 | Average |
| 44-55 | High |
| 56-64 | Very high |
- Prebuilt template with FS scoring to assess the psychological well-being
- 8-item questionnaire that scores each item from “1” (strongly disagree) to “7” (strongly agree)
- Real-time calculation of FS Score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of psychological well-being
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. I lead a purposeful and meaningful life. | Agree |
| 2. My social relationships are supportive and rewarding. | Slightly agree |
| 3. I am engaged and interested in my daily activities. | Strongly agree |
| 4. I actively contribute to the happiness and well-being of others | Agree |
| 5. I am competent and capable in the activities that are important to me. | Slightly agree |
| 6. I am a good person and live a good life. | Agree |
| 7. I am optimistic about my future. | Strongly agree |
| 8. People respect me. | Agree |
| FS score | 52 |
- Collect patient details such as patient id, name, email etc in the FS assessment form
- Send an email invitation with a secure link for patients to complete their FS assessment form prior to their visit
- Allow patients to save their progress and complete their FS assessment form at a later time without losing any responses
- Set up an email template for your FS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their FS score, diagnosis, next steps when they submit their FS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. I lead a purposeful and meaningful life. | Agree | 6 | 52 |
| 3 | John W | 2. My social relationships are supportive and rewarding. | Slightly agree | 5 | 52 |
| 4 | John W | 3. I am engaged and interested in my daily activities. | Strongly agree | 7 | 52 |
| 5 | John W | 4. I actively contribute to the happiness and well-being of others | Agree | 6 | 52 |
| 6 | John W | 5. I am competent and capable in the activities that are important to me. | Slightly agree | 5 | 52 |
| 7 | John W | 6. I am a good person and live a good life. | Agree | 6 | 52 |
| 8 | John W | 7. I am optimistic about my future. | Strongly agree | 7 | 52 |
| 9 | John W | 8. People respect me. | Agree | 6 | 52 |
- Export patient responses including the calculated FS score to Google Sheets for easy record-keeping
- Export individual points for 8 items to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their psychological well-being
- Receive a copy of the response and the calculated FS score by email whenever a patient submits their FS assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. I lead a purposeful and meaningful life.: | Agree |
| 2. My social relationships are supportive and rewarding.: | Slightly agree |
| 3. I am engaged and interested in my daily activities.: | Strongly agree |
| 4. I actively contribute to the happiness and well-being of others: | Agree |
| 5. I am competent and capable in the activities that are important to me.: | Slightly agree |
| 6. I am a good person and live a good life.: | Agree |
| 7. I am optimistic about my future.: | Strongly agree |
| 8. People respect me.: | Agree |
| FS score: | 52 |
| FS score: | 52 |
- Create a HIPAA compliant FS assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting FS form responses to Google Sheets and sending them on email
- Prepopulate patient details in FS assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 23, 2023
I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!
— Sol Evans
February 16, 2024
Does not work
— Myles Sicuro
October 31, 2023
We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!
— Chris Henesy
July 12, 2023
It very friendly to used. I love it. For my case multiple signature needed. it's supporting
— Senthil Kumar
November 27, 2023
Yeah this is good for all
— luqman Khan
July 10, 2023
We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.
— Joan S