--- title: University Student Wellness Check Form Template | Paperform description: Confidential student wellness assessment form for universities covering academic stress, housing concerns, food security, mental health and counseling referrals. Free Paperform template. url: "https://paperform.co/templates/university-student-wellness-check-form" type: static generatedAt: "2026-04-04T00:45:31.052Z" --- [← Back to free form templates](/templates/) ![University Student Wellness Check Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/university-student-wellness-check-form.png) [Preview](https://_preview.paperform.co/ai-template/university-student-wellness-check-form) [Use this template for free](/create?ai-template=university-student-wellness-check-form) [Emergency & Crisis Forms](/templates/category/emergency-crisis/)[Healthcare & Medical Forms](/templates/category/healthcare/)[Education Forms](/templates/category/education/) [Education](/templates/industry/education/) [Counselor](/templates/role/counselor/)[School Counselor](/templates/role/school-counselor/)[Social Worker](/templates/role/social-worker/)[School Administrator](/templates/role/school-admin/) 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. Built for growing businesses, trusted by bigger ones. Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. ![Capterra - 4.8 out of 5](/images/capterra-st.jpg) ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg) ![G2 - 4.8 out of 5](/images/g2-st.jpg) [Try Paperform free now](/register) ## More templates like this [![School Counselor Student Wellness Check-In Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/school-counselor-student-wellness-check-in-form.png) ### School Counselor Student Wellness Check-In Form A comprehensive wellness check-in form for school counselors to assess student wellbeing, behavioral observations, academic concerns, home situation, and plan appropriate interventions.](/templates/school-counselor-student-wellness-check-in-form/) [![Student Trauma-Informed Practice Parent Education Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/student-trauma-informed-practice-parent-education-form.png) ### Student Trauma-Informed Practice Parent Education Form A comprehensive form for educators to understand and support students through trauma-informed practices, documenting adverse experiences, identifying triggers, and coordinating healing strategies between school and home.](/templates/student-trauma-informed-practice-parent-education-form/) [![Graduate Student Wellness Check](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/graduate-student-wellness-check.png) ### Graduate Student Wellness Check A supportive wellness check form designed for graduate students to assess stress levels, advisor relationships, financial pressures, and connect with campus mental health resources.](/templates/graduate-student-wellness-check/) [![Learning Disability Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/learning-disability-assessment-form.png) ### Learning Disability Assessment Form A comprehensive pre-assessment form for identifying learning difficulties, academic challenges, processing speed concerns, and accommodation needs for students and individuals seeking evaluation.](/templates/learning-disability-assessment-form/) [![School-Based Health to Whole Child Referral Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/school-based-health-to-whole-child-referral-form.png) ### School-Based Health to Whole Child Referral Form A comprehensive referral form connecting school-based health services with whole child support, integrating academic, health, and trauma-informed care to support student well-being and educational success.](/templates/school-based-health-to-whole-child-referral-form/) [![Student Crisis Intervention Plan](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/student-crisis-intervention-plan.png) ### Student Crisis Intervention Plan A comprehensive crisis intervention plan template for students with emotional and behavioral disabilities, documenting de-escalation strategies, safe spaces, communication protocols, and emergency contacts.](/templates/student-crisis-intervention-plan/) [![Trauma-Informed Classroom Support Plan](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/trauma-informed-classroom-support-plan.png) ### Trauma-Informed Classroom Support Plan A comprehensive form for developing individualized trauma-informed support plans for students, including ACE screening, regulation strategies, trusted adult assignment, and mental health referral pathways.](/templates/trauma-informed-classroom-support-plan/) [![Adverse Childhood Experiences (ACE) Screening Consent Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/adverse-childhood-experiences-ace-screening-consent-form.png) ### Adverse Childhood Experiences (ACE) Screening Consent Form A trauma-informed consent form for parents to authorize ACE screening for their child, with clear confidentiality assurances and immediate access to counseling and support resources.](/templates/adverse-childhood-experiences-ace-screening-consent-form/) [![Assistive Technology Evaluation Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assistive-technology-evaluation-request-form.png) ### Assistive Technology Evaluation Request Form Request an assistive technology evaluation for students with learning barriers. 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