For Healthcare
Free Patient Intake & Pre-Screening Quiz for Healthcare Providers
Stop spending your first consultation gathering basic intake information. Build a 3-minute quiz that pre-screens patients automatically — route urgent cases, nurture non-urgent ones, and only see patients who are ready.
Create Your Free Quiz →The Problem With Unstructured Patient Intake
You spend the first 15 minutes of every appointment on intake questions that could have been answered in advance. No two intakes are the same, and there's no consistent way to triage by urgency or fit.
Most practices use a PDF intake form or a generic contact form — neither scores responses or routes patients to the right next step. The result: appointments booked by people who aren't ready or aren't the right fit.
The Solution: A 3-Minute Patient Pre-Screening Quiz
Replace your intake form with a FluoTest quiz. Ask 6–10 questions about symptoms, urgency, insurance, and treatment goals. FluoTest scores each response and routes patients automatically:
- →High urgency score: Patient is prompted to call or book an appointment immediately
- →Medium score: Patient sees a waitlist form or informational resource
- →Low match score: Patient is directed to a more appropriate service
You receive an email notification for every submission with the full score breakdown — before the appointment, not during it.
How Healthcare Providers Use FluoTest
- -Pre-screen patients by urgency level before booking appointments
- -Assess treatment readiness for therapy, wellness, or coaching clients
- -Filter inquiries by insurance type or coverage eligibility
- -Route patients to the right specialist based on symptom scoring
- -Screen clinical trial or research study participants automatically
- -Gather structured intake data before the first consultation
What Other Tools Charge for Patient Intake
Typeform (with scoring) - $708/year
ScoreApp - $564–$1,164/year
Purpose-built healthcare intake tools - $200–$500/month
FluoTest - Free forever.
Same core features: score-based results, conditional outcomes, email notifications, Brevo integration, webhooks (Zapier/Make/n8n), Meta Pixel, GTM, and custom branding.
Frequently Asked Questions
Is FluoTest GDPR-compliant for healthcare data?
FluoTest follows GDPR-oriented practices and stores data on EU infrastructure. Quiz owners are responsible for ensuring their quiz questions comply with applicable healthcare data regulations in their jurisdiction.
Can I use FluoTest for therapy or coaching intake?
Yes. Many wellness coaches and therapists use FluoTest to pre-screen clients before a first session — asking about goals, availability, readiness, and prior experience. High-scoring clients get the booking link; others get a helpful resource.
How long does it take to set up a patient intake quiz?
5–10 minutes. Create a quiz, add your intake questions, set score tiers, and share the link. Patients complete it before their appointment and you receive the results by email.
How much does FluoTest cost?
Free forever. No credit card required. Unlimited quizzes, unlimited responses, all features included.
Can I collect symptom or insurance information through FluoTest?
Yes. You can ask about insurance type, coverage, symptom onset, and other intake criteria using yes/no, multiple choice, or open text questions. Scores are calculated from the structured answers.
Start Pre-Screening Patients Automatically
Free forever. No credit card. Set up in 5 minutes.
Create Your Free Quiz →