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
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October 31, 2023
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February 16, 2024
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July 12, 2023
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November 27, 2023
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July 10, 2023
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