Forms

Beautiful forms,
built in minutes.

Collect exactly what you need before every booking, order, or renewal. Choose from templates or start from scratch โ€” no code, no friction.

Add field
AaShort text
โ‰กLong text
โ€”Divider / Header
โ—‰Radio buttons
โ˜‘Checkboxes
๐Ÿ“…Date of birth
โ–พDropdown
1โ€“5Scale / Rating
๐ŸฉบHeight / Weight
๐Ÿ“ŽFile upload
๐Ÿ“Signature
โ‰ซPage break
New patient intake
โ ฟ
Full name *
โ ฟ
Date of birth *
DD / MM / YYYYโ–พ
โ ฟ
Have you been diagnosed with any of the following? *
High blood pressure
Type 2 diabetes
None of the above
โ ฟ
Any additional notes
AI form builder

Describe it.
Done.

Type what you need and Priorly builds the form for you โ€” right fields, right order, right logic. Start from a template or generate from scratch. Either way, you're live in seconds.

โœฆ AI Generate from a prompt
โœฆ
Create a Mounjaro patient intake form with medical history, current medications, weight, blood pressure and a consent section
Try an example
๐Ÿ“‹ Start from a template
๐Ÿฉบ
New patient intake
8 fields ยท 2 pages
๐Ÿ’Š
Prescription check-in
6 fields ยท 1 page
โœ๏ธ
Consent form
5 fields ยท Signature
๐Ÿ’ช
Fitness assessment
10 fields ยท 2 pages
โœ‚๏ธ
Style consultation
7 fields ยท File upload
๐Ÿš€
Onboarding Questionnaire
4 fields ยท Rating
Before every appointment

Know your client
before they arrive.

Attach a form to any service or subscription. Clients complete it before their appointment and you see their answers in full โ€” so every session starts with context, not questions.

  • ๐Ÿ“‹
    Attach to any service or bookingLink a form to a specific service type. Every client who books it gets sent the form automatically.
  • ๐Ÿ‘๏ธ
    Answers visible before the sessionView each client's responses in their profile โ€” right next to the appointment โ€” before you walk in.
  • ๐Ÿ”’
    Gate orders or renewalsRequire form completion before a subscription renews or an order ships. No form, no next cycle.
  • ๐Ÿ“
    Responses stored foreverEvery submission is saved to the client's record. Refer back to any past form, any time.
Mounjaro intake form
Page 1 of 3 ยท Please answer honestly โ€” this helps us tailor your treatment.
Current weight *
92 kg
Have you taken any weight loss medication before? *
Yes โ€” Wegovy previously
No, this is my first time
How would you rate your current energy levels? *
1
2
3
4
5
Field types

Every field type
you'll ever need.

From a simple text box to a full clinical questionnaire, build anything you like without any programming.

Aa
Short & long text
Single-line inputs or multi-line essay boxes for open-ended answers.
โ—‰
Radio buttons
Single-select from a list of options. Great for yes/no or condition checks.
โ˜‘
Checkboxes
Multi-select. Ideal for listing symptoms or medications the client may take.
โ–พ
Dropdowns
Long lists of options in a compact select field โ€” countries, medications, dosages.
๐Ÿ“…
Date of birth
Built-in DOB field with validation โ€” no formatting errors to clean up.
1โ€“10
Scale / Rating
Ask clients to rate pain, energy, satisfaction, or any other scored metric.
๐Ÿ“
Height & weight
Dedicated fields with unit selection โ€” kg/lbs, cm/ft โ€” built right in.
๐Ÿ“Ž
File upload
Let clients attach photos, test results, or any supporting documents.
โœ๏ธ
Signature
Digital signature field for consent forms โ€” legally captured and stored.
@
Email & phone
Validated contact fields โ€” formats checked automatically before submission.
โ€”
Headers & spacers
Section headings and visual breaks to group long forms into readable chunks.
โ‰ซ
Page breaks
Split long forms across multiple pages โ€” less overwhelming, higher completion rates.
Smart forms

Only ask what's
actually relevant.

Show or hide fields based on previous answers. Clients only see questions that apply to them โ€” which means shorter forms, fewer drop-offs, and better data.

  • ๐Ÿ‘๏ธ
    Show / hide any fieldBuild rules like "if the client selects Yes, show the follow-up question." Works across pages too.
  • โž•
    Multiple conditionsCombine AND / OR conditions for complex clinical pathways โ€” without writing a line of code.
  • ๐Ÿ“Š
    Higher completion ratesShorter, personalised forms are completed more often. Only ask what's needed โ€” nothing else.
  • โ‰ซ
    Works across pagesConditional logic applies across page breaks โ€” skip entire sections for clients who don't need them.
Do you have any medical conditions?
Yes
No
Display condition
Only show if
Do you have medical conditions?
Yes
is selected
AND
โœ…
Please select your conditions โ€” shown because answer is "Yes"
๐Ÿšซ
Other conditions field โ€” hidden until "Other" is selected
Page 2 of 3
Smart pre-fill

Forms that know
who they're talking to.

Use placeholders anywhere in your form โ€” greetings, questions, helper text. They're replaced automatically with real values so every form feels like it was written just for that person.

  • ๐Ÿ”—
    Pre-fill via URLShare a link like /form?name=Dan and any {{name}} placeholder in the form fills automatically. Great for personalised email links.
  • ๐Ÿ‘ค
    Auto-fill from portalIf the client is logged into their portal, Priorly fills in any matching fields automatically โ€” name, email, date of birth โ€” so they never retype what you already know.
  • ๐Ÿ’ฌ
    Reference earlier answersUse a previous answer anywhere later in the form. If they said their condition is Type 2 diabetes, a follow-up can read "You mentioned Type 2 diabetes โ€” how long have you been diagnosed?"
  • โœ๏ธ
    Works in any textPlaceholders work in headings, question labels, helper text, and confirmation messages โ€” not just input fields.
Evergreen Health Clinic
Patient Intake Form
Hi Dan! ๐Ÿ‘‹
Before your Mounjaro consultation, we just need a few details. This should take about 3 minutes.
Full name *
Dan
Email address *
โœ“ Name pre-filled from your link
๐Ÿ‘คAmanda Reynolds is logged in โ€” known fields pre-filled automatically
Evergreen Health Clinic
Monthly Check-in
Welcome back, Amanda ๐Ÿ‘‹
Full name
Amanda Reynolds โœ“ Auto-filled
Date of birth
14 / 03 / 1988 โœ“ Auto-filled
Current weight *
Enter your weightโ€ฆ
Evergreen Health Clinic
Patient Intake Form
Earlier answer
Have you taken weight loss medication before?
โ—‰ Yes โ€” Wegovy previously
You mentioned Wegovy previously โ€” how long were you on it, and why did you stop?
About 6 months. Side effects got quite bad towards the end.
โœฆ {{previousMedication}} replaced with their earlier answer
Bespoke forms

Forms that look like
yours.

Apply your brand's colours, fonts, and layout. Your clients should never know they're filling in a Priorly form โ€” it should look and feel like you built it yourself.

๐ŸŽจ
Custom styling
Set your brand colours, primary font, button styles, border radius, and spacing โ€” all through a simple style panel with a live preview.
๐Ÿ—‚๏ธ
Custom layout
Arrange fields in columns or rows. Place elements side by side โ€” like first name and last name โ€” and add page breaks wherever you like.
โœจ
Animations
Add subtle entrance animations to your form fields for a polished, dynamic user experience that sets your forms apart.
Default styling
Background
Primary colour
Main font
Inputs
Text
Background
Placeholder
Roundness
Full name
Your full name
Email address
Your choice
Option one
Option two
Use cases

A form for every
moment.

From the first contact to ongoing care โ€” there's a form for every stage of the client journey.

๐Ÿฉบ
New patient intake
Collect medical history, current medications, allergies, and consent before a first appointment. Attached to the booking โ€” completed before they arrive.
ClinicsPharmaciesMulti-page
๐Ÿ“ฆ
Prescription check-in
Gate a monthly prescription dispatch behind a quick check-in form โ€” weight, side effects, blood pressure. No form, no shipment.
SubscriptionsTask gatingRecurring
โœ๏ธ
Consent forms
Digital signature fields for patch tests, treatment consent, or GDPR confirmation. Legally captured, permanently stored against the client record.
SalonsClinicsSignature
๐Ÿ’ช
Fitness assessment
Collect training history, injury notes, goals, and current fitness levels before a first PT session โ€” so the coach can plan without starting from zero.
GymsPersonal trainersConditional
๐Ÿš€
Onboarding questionnaire
The first form a new client fills in when they sign up โ€” before any booking or order. Collect goals, preferences, health background, and anything else you need to serve them well from day one.
All businessesPre-fillProfile setup
๐ŸŽจ
Style consultation
Collect inspiration photos, colour history, allergies, and preferences before a colour appointment โ€” so nothing comes as a surprise on the day.
SalonsFile uploadPre-appointment

Your first form,
live in minutes.

Start from a template or build from scratch. No code, no faff.