What questionnaire and outcome measure templates are available?

Why questionnaire templates matter

Every new patient starts with paperwork: intake details, consent, and a baseline read on how they’re doing. Embodia’s template library gives you a running start on all three, with pre-built questionnaires, outcome measures, intake forms, and consent forms you can send to patients right away or customize to fit your practice.

Edit questions, duplicate them, and reorder sections until the form matches exactly what you need. There’s no need to build from a blank page.

How templates are organized

Templates fall into three categories: outcome measures, intake forms, and consent forms. Each category groups templates by purpose, so you can find what you need quickly, whether you’re screening a new patient, tracking progress on a validated measure, or collecting consent before an assessment.

New templates are added to the library over time. If you’re on an Embodia Tier 2 or Tier 3 membership, check your account directly for the most current list — it may include templates not yet reflected here.

Template library showing outcome measure, intake form, and consent form categories

Once you’ve found a template that fits, select it from the library to build your own questionnaire. For a step-by-step walkthrough, see creating questionnaires from a template.

Outcome measure templates

These validated instruments help you track patient-reported outcomes over time:

Berg Balance Tests and Rating Scale
Brain Injury Vision Symptom Survey (BVISS)
Concussion Activity Log
Cozean Pelvic Dysfunction Screening Protocol
Depression Anxiety Stress Scales (DASS 21)
Dizziness Handicap Inventory
Dynamic Gait Index (DGI)
Edinburgh Postnatal Depression Scale
Fatigue Severity Scale
Fear-Avoidance Beliefs Questionnaire (FABQ)
Generalized Anxiety Disorder-7 (GAD-7)
Headache Disability Index
Index de l’incapacité reliée à la douleur
Insomnia Severity Index
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Lower Extremity Functional Scale (LEFS)
National Headache Foundation – Headache Diary
Neck Disability Index (NDI)
Net Promoter Score (NPS)
Neurobehavioral Symptom Inventory (NSI)
Pain Catastrophizing Scale (PCS)
Pain Disability Index
Pain Self-Efficacy Questionnaire (PSEQ)
Pain Stages of Change Questionnaire (PSOQ)
Patient Health Questionnaire (PHQ-9)
Patient Rated Wrist/Hand Evaluation (PRWHE)
Pelvic Floor Disability Index (PFDI-20)
Pelvic Health Screening (PHS)
Post-Concussion Symptom Scale
Shoulder Pain and Disability Index (SPADI)
Tampa Scale for Kinesiophobia
The Central Sensitization Inventory (CSI)
The Fremantle Perineal Awareness Questionnaire (Fre-PAQ)
The Pelvic Pain Psychological Screening Questionnaire (3PSQ)
The Rivermead Post-Concussion Symptoms Questionnaire
The Roland-Morris Disability Questionnaire
Upper Extremity Functional Scale (UEFS)
Visual Vertigo Analogue Scale
Vulvar Pain Functional Questionnaire (V-Q)

Intake form templates

Use these templates to collect background information and screen new patients before their first visit:

Annual Mobility Assessment Intake Form
COVID-19 Screening
Intake Form – General
Intake Form – Personal Information
Intake Form – Vestibular
My Cognitive Rehab Plan
Pelvic Health Patient History Intake Form
Pelvic Health Symptom Monitor
Pelvic Self-Exam for Telehealth
Screening for Patient with Low Back and Hip Pain

Collect documented consent before an assessment, treatment, or data-sharing activity with these templates:

Consent Form for All Modes of Assessment
Consent Form – General (this consent form has the various ways a patient/client can accept consent. It does not contain other content)
Informed Consent for Pelvic Health Physiotherapy
TELUS eClaims – Electronic Transmission Authorization and Consent Form

Building templates from your own PDFs

Already have a questionnaire, intake form, or chart item as a PDF? AI DocBuilder reads your existing PDF and rebuilds it as a fully fillable digital template inside Embodia, so you don’t have to recreate it by hand. It’s available on Tier 3 Practice Management memberships.

Learn how it works in AI DocBuilder: Building fillable forms from existing PDFs.