Food Allergy Questionnaire Template

Paper allergy cards go missing in backpacks and binders. This food allergy questionnaire template collects allergens, typical reactions, and who to call so staff can plan meals and emergencies from one list.

Great for

• Schools and camps collecting allergy info before term or session
• Event organizers planning menus for guests with restrictions
• Clinics and practices updating patient allergy lists remotely

Ask for the allergen and the typical reaction so staff know what to watch for, not only what to avoid. An epinephrine yes or no is enough for most intake forms.

Share a short link with parents or attendees before the event. Export CSV when catering or nursing needs a single roster.

Formms is not built for HIPAA-covered records. If your organization is a covered entity, use a HIPAA-compliant platform for this workflow instead.

Questions in this template

1. Full name *
   Name
2. Age or date of birth *
   Short text
3. Known food allergies *
   Checkboxes No known food allergies, Peanuts, Tree nuts, Milk / dairy, Eggs, Wheat / gluten, Soy, Fish, Shellfish, Sesame, Other (describe below)
4. Other allergens or details
   Short text
5. Typical reaction symptoms
   Long text
6. Do they carry an epinephrine auto-injector? *
   Yes or no
7. Emergency contact name *
   Name
8. Emergency contact phone *
   Phone
9. Notes for meal planning or staff
   Long text