Health Questionnaire Templates for Functional Medicine Practitioners
Ready-to-copy quiz question templates designed for functional medicine practices. Each template includes 8 multiple-choice questions with clinical archetype mapping — download as PDF or copy into your existing quiz tool. Covering gut health, hormone health, thyroid health, and fatigue & energy.
Quiz Question Templates
Copy-and-paste question sets with clinical archetype mapping. Each template includes 8 multiple-choice questions and 3 clinical archetypes. Download as PDF or copy into your existing quiz tool.
Gut Health Quiz Question Template
8 questions evaluating digestive symptoms, food sensitivities, antibiotic history, and stress-gut interactions. Maps to Gut Barrier Compromised, Microbiome Dysbiosis, and Stress-Driven Gut Dysfunction.
Hormone Health Quiz Question Template
8 questions evaluating cycle regularity, PMS severity, hormone-stress interactions, and lifestyle factors. Maps to Estrogen Dominance, Stress-Adaptive Hormone Shift, and Low-Androgen or Perimenopausal Transition.
Thyroid Health Quiz Question Template
8 questions evaluating hypothyroid and autoimmune thyroid patterns, including lab-symptom discrepancies. Maps to Classic Hypothyroid, Autoimmune Thyroid (Hashimoto's Pattern), and Thyroid-Conversion Dysfunction.
Fatigue & Energy Quiz Question Template
8 questions evaluating HPA axis function, mitochondrial health, and nutrition-driven fatigue. Maps to HPA Axis Dysregulation, Mitochondrial Depletion, and Nutrient-Deficiency Fatigue.
Deploy These Assessments on Your Website With Brevlix
Instead of copying questions manually, Brevlix turns any template into a live, interactive assessment. Patients complete it on your website, responses are scored automatically, and you both receive an instant clinical report.
Start Free →Frequently Asked Questions
What are quiz question templates?
Quiz question templates are ready-to-use question sets that functional medicine practitioners can copy into their quiz tools, form builders, or assessment platforms. Each template includes 8 multiple-choice questions and maps patient responses to clinical archetypes — giving you a structured screening tool for a specific health topic.
How do clinical archetypes work?
Instead of producing a single score, each template maps patient responses to distinct clinical archetypes. For example, the gut health template differentiates between Gut Barrier Compromised, Microbiome Dysbiosis, and Stress-Driven Gut Dysfunction — three different root causes that require different treatment approaches.
Can I customize these templates?
Yes. All templates are starting points — you can add, remove, or rephrase questions to match your clinical approach. The archetype mapping framework is flexible enough to accommodate adjustments while preserving clinical relevance.
Are these templates free to use?
Yes. All quiz question templates are completely free to download, copy, and use in any quiz tool or assessment platform. No account required — just open a template, download the PDF, or copy the questions directly.
How do I get these assessments live on my website?
You have two options: copy the questions into your existing quiz tool, or use Brevlix to deploy any template as an interactive assessment in about 5 minutes. Brevlix handles scoring, archetype mapping, and patient report generation automatically — no manual setup required.