Annual Employee Wellness Screening Form
About this free form template

An Annual Employee Wellness Screening Form is essential for organizations committed to employee health and wellbeing. This comprehensive template helps HR teams, wellness coordinators, and healthcare providers collect critical health data, identify risk factors, and guide employees toward better health outcomes.

Designed for corporate wellness programs, occupational health departments, and employee benefits teams, this form streamlines the annual screening process by capturing biometric measurements, health history, lifestyle habits, and wellness goals in one organized workflow. Whether you're managing wellness initiatives for a small business or coordinating health screenings across multiple locations, Paperform makes it simple to collect, track, and act on employee health data.

The form includes sections for biometric data entry (blood pressure, BMI, cholesterol levels), a health risk assessment questionnaire covering chronic conditions and family history, lifestyle evaluation (nutrition, exercise, sleep, stress), and space for preventive care recommendations. Conditional logic ensures employees only see relevant follow-up questions based on their responses, creating a personalized screening experience.

Why Paperform is perfect for employee wellness screenings:

Paperform's document-style editor lets you create professional, HIPAA-alternative compliant forms that feel approachable rather than clinical. You can brand the form to match your company's wellness program, embed it in your intranet or benefits portal, and use conditional logic to guide employees through relevant health questions without overwhelming them.

For HR teams and wellness coordinators, Paperform streamlines data collection and follow-up. Submissions can automatically flow into Google Sheets or Airtable for tracking, trigger email notifications to occupational health nurses for high-risk cases, or integrate with your HRIS via Stepper workflows. Use Papersign to collect employee consent for screenings or acknowledgment of wellness program terms, keeping all documentation connected to the original submission.

Whether you're running biometric screenings, health risk assessments, or comprehensive wellness evaluations, this template provides the structure and flexibility to support employee health initiatives while respecting privacy and encouraging participation.

Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.

More templates like this

Workplace Health Screening Form

Workplace Health Screening Form

A comprehensive corporate wellness form for employee health screenings, vitals tracking, stress assessment, ergonomic evaluation, and wellness program follow-ups.

Employee Fitness-for-Duty Evaluation Form

Employee Fitness-for-Duty Evaluation Form

Comprehensive fitness-for-duty assessment evaluating employee health status, physical capacity, job-specific requirements, and return-to-work readiness with accommodation considerations.

Postpartum Depression Accommodation Remote Work Request

Postpartum Depression Accommodation Remote Work Request

A supportive remote work accommodation request form for employees managing postpartum depression, including therapy schedules, medication management needs, and flexible hour arrangements during recovery.

Workers' Compensation Injury Causation Form

Workers' Compensation Injury Causation Form

A comprehensive workers' compensation assessment form to document work-related injuries, establish causation, capture job duties, and evaluate medical improvement status for insurance and treatment purposes.

Workplace Wellness Incentive Program Enrollment Form

Workplace Wellness Incentive Program Enrollment Form

Enroll in your employer's wellness program to earn health insurance premium reductions. Complete biometric screenings, track activities, and participate in wellness initiatives for maximum savings.

Workplace Wellness Program Employee Health Survey

Workplace Wellness Program Employee Health Survey

Comprehensive employee health survey to evaluate workplace wellness programs, biometric screenings, health coaching, fitness incentives, and preventive care utilization.

Corporate Ergonomic Assessment Lab Weekend Workstation Testing Request

Corporate Ergonomic Assessment Lab Weekend Workstation Testing Request

A comprehensive form for employees requesting weekend access to the ergonomic assessment lab for workstation testing, including consent, injury prevention protocols, and occupational health approval.

Corporate Flu Shot Clinic Scheduling Form

Corporate Flu Shot Clinic Scheduling Form

Streamline employee flu vaccination scheduling with automated insurance processing, multi-location booking, and digital vaccination record distribution for corporate wellness programs.

Corporate Wellness Program Consent Form

Corporate Wellness Program Consent Form

Employee consent form for participating in workplace wellness initiatives, including health risk assessments, fitness challenges, biometric screenings, mental health resources, and incentive programs.

Corporate Wellness Program NDA & Confidentiality Agreement

Corporate Wellness Program NDA & Confidentiality Agreement

A comprehensive non-disclosure agreement for corporate wellness programs that protects employee health data, participation metrics, and includes secure payment processing for program fees.

Employee Health Nurse to Occupational Medicine Specialist Referral Form

Employee Health Nurse to Occupational Medicine Specialist Referral Form

Comprehensive workplace injury referral form for employee health nurses to refer workers to occupational medicine specialists, including injury details, workers compensation status, job demands, and return-to-work assessment.

FMLA Leave Request Form

FMLA Leave Request Form

A comprehensive form for employees to request Family and Medical Leave Act (FMLA) leave, including medical certification requirements and tracking for intermittent or reduced schedule leave.