Embodia includes a library of questionnaires, outcome measures, intake forms, and consent form templates you can use to quickly build standardized forms for your patients. These templates can be customized — including editing questions and duplicating questions — to match your practice needs.
This guide will help you understand which templates are available and how they are organized. If you need help creating a questionnaire from one of these templates, see creating questionnaires from a template.
Please note that new templates may be added over time, so it’s best to check your account directly if you are an Embodia Tier 2 or Tier 3 Member.
Outcome Measures:
- Berg Balance Tests and Rating Scale
- Brain Injury Vision Symptom Survey (BVISS)
- Depression Anxiety Stress Scales (DASS 21)
- Dizziness Handicap Inventory
- Edinburgh Postnatal Depression Scale
- Fatigue Severity Scale
- Fear-Avoidance Beliefs Questionnaire (FABQ)
- Headache Disability Index
- Index de l’incapacité reliée à la douleur
- Insomnia Severity Index
- Knee Injury and Osteoarthritis Outcome Score (KOOS)
- Lower Extremity Functional Scale (LEFS)
- Neck Disability Index (NDI)
- Pain Catastrophizing Scale (PCS)
- Pain Disability Index
- Pain Self-Efficacy Questionnaire (PSEQ)
- Patient Rated Wrist/Hand Evaluation (PRWHE)
- Pelvic Health Patient History Intake Form Intake form
- Pelvic Health Screening (PHS)
- Post-Concussion Symptom Scale
- Shoulder Pain and Disability Index (SPADI)
- Tampa Scale for Kinesiophobia
- TELUS eClaims - Electronic transmission authorization and consent form Consent form
- The Central Sensitization Inventory (CSI)
- The Rivermead Post-Concussion Symptoms Questionnaire
- The Roland-Morris Disability Questionnaire
- Upper Extremity Functional Scale (UEFS)
- Vulvar Pain Functional Questionnaire (V-Q)
Intake and consent forms:
- COVID-19 Screening
- Intake Form - General
- Intake Form - Personal information
- Intake Form - Vestibular
- Consent Form - General
- Pelvic Health Symptom Monitor
- Net Promoter Score (NPS)
- Pelvic Health Patient History Intake Form
- Pelvic Self-Exam for Telehealth