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 inquiry form with a FluoTest quiz. Ask 6–10 non-medical questions about goals, availability, preferred service and practical fit. FluoTest scores each response and routes new clients automatically:
- →High fit score: The client is prompted to book an appointment right away
- →Medium score: The client sees a waitlist form or an informational resource
- →Low match score: The client is pointed 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-qualify new client inquiries before booking appointments
- -Assess readiness to start for therapy, wellness or coaching clients
- -Filter inquiries by insurance type or payment method
- -Route inquiries to the right service based on the client's goals
- -Collect availability and location preferences before the first call
- -Gather structured, non-medical intake details before the first consultation
What Other Tools Charge for Patient Intake
Typeform (paid plans) - from $336/year
ScoreApp - $351–$1,341/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. It is not a medical records system: our Terms do not allow collecting health information through quiz questions, so keep quizzes to non-medical details and collect clinical intake in your practice's own compliant system.
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 core features included.
Can I collect symptom or insurance information through FluoTest?
Insurance type, yes. Symptoms or other health information, no: our Terms (section 10) do not allow health data in quiz questions. Use FluoTest for non-medical pre-qualification such as goals, availability, service interest or insurance type, and collect anything clinical in your practice's own compliant system.
Start Pre-Screening Patients Automatically
Free forever. No credit card. Set up in 5 minutes.
Create Your Free Quiz →