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Therapist-friendly forms, surveys, and assessments
Don't worry about customer privacy, data breaches, or data leaks. Focus on your therapy. You are in good hands.
Ready-to-use forms, surveys and assessments
100+ therapist forms, surveys, assessments. Also 40+ standardized mental health assessment scales, and DSM-based questionnaires to help you start fast.
Create self-assessments for your clients
BlockSurvey is an online self-assessment tool for therapists that is safe, secure and easy to use.
Deliver confidential experience to your clients
Create a holistic & client-centric approach through our privacy-focused forms, surveys, assessments.
Learn how the the most secure mental health survey tool helped AlysonRead more
Secure forms, surveys, and assessments for therapists
Builds Trust
Secure clients' data during assessments, interviews, and feedback to build trust.
Don’t worry
Let your client’s wellness be the priority without any worries about data breaches, leaks.
Pricing
Start free. Upgrade when your research outgrows it. Every plan keeps end-to-end encryption and full data ownership.
Standard
$49$39/mo
Unlimited surveys with AI-powered creation, end-to-end encryption, and core privacy protections.
- Most popular
Premium
$99$79/mo
Everything in Standard, plus AI follow-up questions, custom branding, audience management, and custom survey links.
Team
$149$119/mofor 3 users
Everything in Premium, plus AI data analysis, market research question types, campaigns, and compliance essentials.
Enterprise
Let’s Talk
For organizations that need scale, security, SSO, white-label control, and personalized onboarding.
Loved by Teams Around the World
We stopped thinking about surveys as just forms and started building a real workflow. BlockSurvey gave us a HIPAA-compliant application system, automated eligibility tracking, and a full communications hub - handling 600+ applications without a single enterprise CRM. The flexibility to iterate as we grew, backed by a team that genuinely built with us, made all the difference.
Erin Luers Abbott — Project Director, Lunder CareForce Institute
BlockSurvey gave me the flexibility to build adaptive assessments that meet each patient where they are. Instead of presenting every question to every patient, forms adapt based on their responses — keeping assessments shorter, more relevant, and less fatiguing. The HIPAA compliance at an affordable price point, combined with a team that truly listens, makes it the right fit for an independent psychology practice.
Dr. Tim Peterson — Founder, Clinical Psychologist
BlockSurvey gave me a formal platform to collect individual experiences through structured surveys while maintaining strong privacy standards. I can now gather authentic feedback at scale and quickly transform it into insights for presentations and coaching. The platform has helped me save time, build trust with participants, and create a greater impact in my field.
Sue Riekels — CEO, Sue Riekels LLC
I was skeptical at first, but BlockSurvey is the most advanced secure survey tool which is easy to use. My survey completion rate went from 13 to 46 out of every 100 visitors - and I no longer worry about security at all. It's the only tool I trust for sensitive mental health research.
Alyson Luftig — Mental Health Advocate
What people say
Join 500+ happy customers worldwide who are already using our amazing product.
Beyond Surveys—A Truly Multi-Purpose Tool
This platform goes far beyond basic surveys. I’ve used it for lead generation, landing page enrichment, and even embedded videos. Everything’s easy to use, well documented, and super flexible—whether you're building forms, quizzes, or something more advanced.
Martin G.Créateur de la Méthode RashōmonUI/UX is great and fast API processing
I think BlockSurvey is good for short and long surveys. What I find the best is the fact that there are so many templates I can use and customize.
Ankit M.AI Analyst Team LeadAI form builder for top security and data privacy
Uses end-to-end encryption technology that allows users to create survey forms where data is secure and private. UI looks very beautiful.
Lou F.Creative VisionaryNothing Like It — BlockSurvey Is in a League of Its Own!
From end-to-end encryption-level security and AI-generated questions to powerful logic flows and white-label domains, BlockSurvey has it all. It’s secure, innovative, and packed with features like calculations, templates, and in-app analytics. I use it to create personalized assessments for leadership training—nothing else compares.
Kim B.Founder/ President - International Leadership TrainerSurvey and Forms for Privacy and Security
BlockSurvey puts privacy and security above anything else. The use of end-to-end encryption is not a gimmick as in many products; it's a core feature enabling privacy and security. The survey building tools are impeccable. I've used numerous SaaS survey tools, and nothing comes close.
Trevor L.Chief Information Security Officer (CISO)Effortless and Secure Data Collection with Web3 Touch
BlockSurvey is very user-friendly with amazing customization options. It makes capturing data simple and secure. While the Web3 space still has room to mature, the platform itself is smooth and intuitive.
Ali S.Founder, Small- BusinessUnmatched Security & Stunning Response Rates
Few tools combine data confidentiality and form aesthetics like this one. The conversational design improved my response rate by 43%, and the webhook integrations made syncing to our CRM effortless. I also love how responsive and community-driven the support team is.
Kris R.Group Automation ManagerPowerful custom surveys
Creating surveys with BlockSurvey has been a breeze. The drag-and-drop interface is intuitive, and we’re able to collect data anonymously and securely—without intermediaries. It’s interactive, friendly, and encourages high participation while protecting user privacy. The reports are solid, and we’ve used it confidently for internal and external feedback.
Liz D.IT Support SpecialistPrivate, Beautiful Surveys That Build Trust
For our NGO, data privacy is everything—and this platform nails it. It keeps personal info fully protected while letting us design beautiful, chat-like surveys that increase engagement. Team collaboration features sealed the deal.
Luis Noel D.Director ComercialSecure by Design - It's for Everyone
Frequently asked questions
- Therapists focusing on addiction, trauma, family, child, forensic, sexual, mental wellness and many such sensitive areas can use BlockSurvey for safe and secure data collection.
See some sample blogs focused on Therapists
Explore moreAre You In A Trauma Bond?
Being in love or loved by someone is a feeling beyond words, but sometimes emotional abuse is mistaken as love. Trauma bonding is a strong emotional attachment between an abused person and his or her abuser, formed due to the cycle of violence. Trauma bonding is something many people in abusive relationships don’t realize they are experiencing.
Separation Anxiety Disorder
Do you have Separation Anxiety Disorder? Separation anxiety disorder is a condition where a child finds it difficult to cope with brief periods of separation from parents or other caregivers. They are among the top 10 fears of people and have made many sufferers very uncomfortable.
Join 500+ companies across 50+ countries ...
Using BlockSurvey to protect their respondents' privacy, increase their survey completion rates, get better community feedback, and build better organizations.
- Create 3 forms or surveys
- Get 50 responses
Free Templates for Therapists
Explore all templatesTherapy Consent Form
The Therapy Consent Form is a document that is used by a therapist to obtain consent from a patient for treatment.
Laser Hair Removal Consent Form
Laser hair removal consent form is a document that is to be signed by the patient before undergoing a laser hair removal procedure. This form provides the patient with all the necessary information regarding the risks and benefits associated with the procedure. It also states that the patient has been made aware of all the possible side effects and has given her consent to undergo the procedure.
Massage Therapy Consent Form
This massage therapy consent form is used by massage therapists to obtain consent from their clients before providing treatment. This form may also include information on the type of massage to be provided, the duration of the massage, the client's medical history, and the therapist's contact information.
Sexism Mental Disorder Survey
The Sexism Mental Disorder Survey is a questionnaire that is used to assess an individual's level of sexism. The survey consists of a series of questions that ask about an individual's attitudes and beliefs regarding gender roles, gender stereotypes, and sexism. The survey is intended to help identify individuals who may be at risk for developing sexist attitudes and beliefs.