The phone rings in the middle of a treatment. Appointment requests get lost or need a callback.
Appointment and care inquiries that already include everything important.
New patients state their complaints and payer and book their first appointment directly in the calendar. Relatives describe who needs care, what help, how often and from when. Calculators for dental implants, 24-hour care and laser hair removal give a cost range before anyone calls.
Why a contact form isn't enough here.
Care inquiries lack the care level, scope and start date. The first conversation starts from zero.
Whether it's a prescription, private insurance or self-pay, you only find out at the front desk.
Try the “Physiotherapy appointment” template.
Click through like your customers. On the right you see what arrives in your leads board. Nothing is sent.
The real Physiotherapy appointment template from Funnelforms Pro 5.0 with all paths and design. Included in Funnelforms Pro.
All questions of the template
The complete Physiotherapy appointment template (4 steps and contact). It needs Funnelforms Pro because it uses the Appointment field. When you use it, Pro creates the appointment type “First physiotherapy appointment” (30 minutes) if none with that name exists yet.
- 1Choice with icons
What can we help you with?
Back or neckJointsSports injuryAfter surgery - 2Choice with icons
How will the treatment be paid for?
Prescription availablePrescription to followPrivate insuranceSelf-payThe answer is the template's lead score.
- 3Long text
Is there anything we should know in advance?
- 4Appointment
Choose your first appointment
Free slots from the appointment type and the connected calendar.
- 5Contact step
Who is the appointment for?
NameEmail addressPhone numberConsent
9 templates for health and care.
Every question, every text and every calculation can be changed.
Physiotherapy appointment
For physiotherapy and similar practices: complaint, prescription or self-pay, then new patients book their first appointment straight in your calendar.
Home care service
Relatives describe who needs care, where, the kind and amount of help and the start; with help for the care grade and a call back within a day.
24-hour care cost calculator
For live-in care agencies: help needed, care grade and the carer’s German give the monthly costs, the care allowance and the family’s own share.
Dental implant cost calculator
For dental practices: number of teeth, bone and insurance give a cost range for implants; patients ask for a consultation.
Gym trial session
Goal, experience and the preferred kind of training, then visitors book their free trial session straight in your calendar.
Hearing self-check
For hearing aid acousticians: five everyday situations show whether a hearing test is worth it; ends with the result and a request for a free hearing test.
Laser eye surgery check
For eye clinics: age, glasses, prescription and eye health show whether a pre-examination is worth it; ends with the result and a request for an appointment.
Hairdresser appointment
Service, hair length and first visit, then customers book a free slot in your calendar; the salon knows beforehand how much time to plan.
Laser hair removal price calculator
For beauty and laser studios: body areas and package give a price range; customers ask for a free consultation with a test shot.
Also a good fit
- Job application, care Qualification, area, working hours and shift preferences.
- Appointment booking Appointment booking with available times from the calendar.
- NPS and satisfaction survey Satisfaction with one click and the recommendation question from 0 to 10.
- Stairlift advice Price range and care insurance subsidy, followed by a home visit.
What matters in your industry.
Appointment booking
With the Appointment field (Pro), patients book available times. The appointment type knows office hours, breaks, lead time and closed days, and sends reminders by email.
Conditions and paths
Without a care level, the care service shows a note about applying for one before moving on.
Retention and permissions
Entries are deleted automatically after a set number of days, including files. Roles determine who can view and export entries.
Booking page
All booked appointments as a list, week or month, with the key figures Today, Next 7 days, To be marked and No-shows.
What you keep an eye on afterwards.
All in the Funnelforms analytics and entries, no second tool needed.
- Inquiries by reason for visit and payerForm analytics, answers
- Booked appointments today and in the next 7 daysAppointments, Today and Next 7 days metrics
- Appointments marked as no-showAppointments, No-shows key figure
- When entries come in, to plan callbacksStatistics, when entries come in
- Trial session bookings relative to page viewsStatistics, conversion rate
- Share of entries from mobileForm analytics, entries by device
Frequently asked questions for health and care.
Can I use the templates with Funnelforms Free?
Only Home care service, there without lead score. Physiotherapy appointment, Gym trial session and Hairdresser appointment book fixed appointments with the Appointment field; the calculators and self-tests use calculations. Both are only in Funnelforms Pro.
How long are inquiries stored?
As long as you set it. Funnelforms deletes entries automatically every day after the chosen number of days, together with uploaded files. New websites start with one year, and the setup assistant asks for the retention period.
Who on the team sees the inquiries?
You decide which WordPress roles can view and export entries. Support access for the Funnelforms team can never export entries.
Your next lead starts with a good question.
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