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.
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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 Alyson
Secure forms, surveys, and assessments for therapists
It is important to secure data during therapy. You don't need to worry. You are at the right place.
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.
Join 500+ companies across 50+ countries ...
Join 500+ members who use BlockSurvey to protect their respondents' data and privacy
What people say
Join 500+ happy customers worldwide who are already using our amazing product
It might seem insignificant to some, but to me #privacy is key to the #future. Which is why it feels so freaking good to have converted all my Mindset Programs to @blocksurvey and thereby end-to-end encrypted using #blockchain. That’s how #personaldevelopment should be. Private.
If you aren’t using @blocksurvey privacy focus survey platform created for #web3 you are not serving your customers justice.
Solid shout out to @wlsnbr, founder of @blocksurvey bringing easy to use web3 surveys and forms to market with privacy as a priority.
Using @blocksurvey, I've been able to create beautiful surveys which I have generated by the help of AI, there's no doubt their integrations and AI module shows BlockSurvey they are in for the future.
If you are a #Bitcoiner and still using another survey platform other than @blocksurvey, you are still centralized in your mind and controlled by central entities.
looking for an alternative to google forms/typeform?
In today’s problem of data breaches and leaks, we need to make sure that our data is well protected. The solution to that problem is BlockSurvey! Shoutout to
@blocksurvey @blocksurvey @blocksurvey
India brewed BlockSurvey brings privacy-respecting surveys, forms & polls to everyone everywhere. It was a pleasure interviewing you Wilson. @blocksurvey
Ethical data management can create wealth - @blocksurvey
Using @blocksurvey for des femmes, which is an end-to-end encrypted typeform (with arguably, more elegance in ui).
Loving the updates to @blocksurvey BlockSurvey: Blockchain based alternative to Google Forms producthunt.com/posts/blocksur...
Frequently asked questions
What are the kinds of therapists can use BlockSurvey?
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.
Why is data security very important for therapists?
Therapists get sensitive data from clients every day. The client has trusted the therapist with their sensitive, private and confidential data. It becomes a necessity for therapists to protect the client’s data and privacy.
What are the benefits of using BlockSurvey as a therapist?
With BlockSurvey the clients' data is end to end encrypted by default. Only you can see the data and not anyone, including BlockSurvey. You are in custody of your data all the time. As a therapist you are anonymous to BlockSurvey. We don’t know what assessments or forms or survey you are running. BlockSurvey is non-intrusive and has zero knowledge on your data.
Do you have pre-made forms, surveys and assessments focused therapists?
Experts from BlockSurvey have created templates related to mental health. Therapists can select a template and start using that to collect data and take action to improve mental wellness.
See some sample blogs focused on Therapists
Are 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.How To Deal With Gaslighting?
If your partner Gaslighting you, here is what you can do to handle the gaslighting manipulations. How to handle the emotional abuse the right way.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.
Free Templates for Therapists
Therapy Consent FormThe Therapy Consent Form is a document that is used by a therapist to obtain consent from a patient for treatment.
Laser Hair Removal Consent FormLaser 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 FormThis 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 SurveyThe 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.