A first enquiry for therapists and counsellors that keeps to the practical: who the therapy is for, how to meet, which times suit and how sessions will be paid for. It asks about voicemail only when someone leaves a number, and a child's age only when the therapy is for a child. On Pro, a calm first reply offering a short call is written and ready, and waits for you to check it before it goes.
Therapists, counsellors and small practices who want enquiries in one place without asking people to put anything personal in a form.
The welcome and thank-you screens point anyone who needs urgent help to emergency services.
Every question in this template
The pages as a respondent meets them. Pick any question to open it in the live preview above.
- Page 1Questions6 questions
- Page 2Meeting6 questions
- ThenThank you for getting in touch
We'll reply within two working days to arrange a short first call. If you need help urgently, please contact your local emergency services.
Conditional logic is already set up
Every answer, in one place
Each response lands in your inbox as a card like this one, with an email to you if you want it. People who stop part-way are kept too, with the answers they gave.
- Partial answers and drop-off by question, on every plan
- CSV, JSON and PDF on every plan, Excel on Pro
- Sheets, Slack, Notion, Airtable, HubSpot and webhooks on Pro
Maya OkaforTherapy enquiry · just nowNew- Your name
- Maya Okafor
- Your email
- maya@northstar.co
- Your phone number
- +44 20 7946 0321
- Is it all right to leave a voicemail on this number?
- Yes
- Who is the therapy for?
- Me
- How old is your child?
- 12
and 6 more answers
Three steps, a couple of minutes
- Use this template1Make it your own copyIt becomes a draft in your account. Nothing you change touches the original.
- Reword, reorder, re-theme2Change anythingQuestions, pages, logic, theme and logo. It is an ordinary form from here on.
- formkit.app/you/therapy-enquiry3Publish and shareYour own link, a QR code or an embed. Every answer lands in one inbox.
What this form can also do
Questions about this template
Can I ask why someone wants therapy?
We'd advise against it. Formkit isn't built for health records and doesn't offer HIPAA compliance, so this template leaves mental-health details for a private first conversation.
Will the AI reply say anything about their situation?
Its instructions tell it not to comment on why someone is getting in touch or give advice, and every reply waits for you to approve it. It switches on with Pro.
Can I keep the form private?
Yes. Share it by link only, or password-protect it, and responses are visible only to the people on your team you choose.