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University Student Wellness Check Form
About this free form template

University counseling centers and student services teams need a compassionate, comprehensive way to check in on student wellbeing—especially during high-stress periods like midterms, finals or major life transitions. This University Student Wellness Check Form helps you quickly identify students who may need support across academics, housing, food security and mental health, then connect them to the right campus resources.

Built for student affairs professionals, resident advisors, academic advisors and counseling staff, this template covers the core dimensions of student wellness in a format that feels supportive rather than clinical. Students can share what's really going on—whether that's academic overwhelm, housing instability, food insecurity or mental health struggles—and your team gets the structured data you need to triage and respond.

Paperform makes student wellness checks easier to manage. Use conditional logic to surface follow-up questions based on concern levels, send automated referrals to counseling or campus resources via email, and connect submissions to your student information system or case management tools with Stepper workflows. You can embed the form in your student portal, share it via email during check-in campaigns, or make it available on a dedicated wellness page—all while maintaining a brand experience that feels approachable and safe.

This template is ideal for universities, colleges, residence life teams, student health centers and any campus department focused on supporting student success and retention through proactive outreach.

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