Mental Wellness Quiz Template — Capture More Admission Inquiries for Your Addiction Treatment Center

Introduction

This interactive quiz form template is designed for individuals struggling with addiction who are seeking help from an addiction treatment center. It's a powerful tool that simplifies the admission inquiry process, making it less daunting and more engaging.

You can embed this quiz on your website or use it in advertising campaigns on Facebook Ads, Google Ads, or landing pages to significantly boost conversion rates and capture more qualified leads.

Below you'll find a complete breakdown of how to build this quiz, the exact questions it contains, and a working example you can use right away.

How It Works

This quiz form guides potential patients through a series of questions designed to understand their specific needs and readiness for treatment. Questions cover:

• Who the treatment is for
• The type of addiction
• Prior treatment history
• Readiness to start the admission process

At the end of the quiz, the user's responses are used to capture a lead and provide personalized treatment recommendations.

Quiz Questions

Question 1: Are you seeking help for yourself or a loved one?

• Myself
• Loved one
• Both
• Just researching

Question 2: What type of addiction are you seeking help for?

• Alcohol
• Drugs
• Both
• Other

Question 3: Have you/they been in treatment before?

• Yes, myself
• Yes, loved one
• No
• Prefer not to say

Question 4: Are you ready to start the admission process?

• Yes, immediately
• Within a week
• Within a month
• Just gathering info

Prompt Example

Create an interactive quiz for addiction treatment centers to help users identify their treatment needs based on who the treatment is for, the type of addiction, prior treatment history, and readiness to start the admission process.

How to Use It in Campaigns

Embed this quiz on your website's homepage or on a dedicated landing page. Use it as a lead magnet in your Facebook Ads or Google Ads campaigns targeting individuals seeking addiction treatment. You can also integrate it into blog posts or articles about addiction recovery to engage readers and convert them into leads.

Why It Converts

This quiz form reduces friction by making the admission inquiry process less intimidating and more personalized. It qualifies leads by gathering crucial information about the potential patient's addiction and readiness for treatment. This level of personalization can improve lead quality by up to 50%, building trust and increasing the likelihood of conversion.

Start Using This Quiz Template Today

Don't miss out on the opportunity to capture more admission inquiries. Create your own version of this quiz in minutes with Interactive Form and start converting more leads today.