Appointment request form template
Service, preferred dates and times, contact details and notes, for salons, clinics, consultants and trades.
6 questions · about 2 minutes to complete · free on every plan
Free account required. The template is copied into your workspace; edit anything before publishing.
- When to use it
- On your booking page, when you do not use live scheduling.
- Who it is for
- Clients requesting an appointment.
How to use this template
- Use a dropdown for the request type so routing is clean.
- Ask for the preferred contact method.
- Send submissions to your inbox or helpdesk with a webhook.
Questions in the appointment request form template
1. Your details
contact info
2. Service
dropdown · Service 1, Service 2, Service 3, Not sure — please advise
3. Preferred date
date
4. Preferred time
single choice · Morning, Midday, Afternoon, Evening, Any
5. Are you a new or returning client?
single choice · New, Returning
6. Anything we should know before your visit?
open text
What the results look like
IllustrativeSynthetic sample of 120 responses generated for this preview, not real survey data. Your results page shows the same charts for your own responses.
1.Service
120 answered| Answer | Count | Percent |
|---|---|---|
| Service 1 | 11 | 9% |
| Service 2 | 41 | 34% |
| Service 3 | 50 | 42% |
| Not sure — please advise | 18 | 15% |
2.Preferred time
120 answered| Answer | Count | Percent |
|---|---|---|
| Morning | 6 | 5% |
| Midday | 31 | 26% |
| Afternoon | 19 | 16% |
| Evening | 26 | 22% |
| Any | 38 | 32% |
3.Are you a new or returning client?
120 answered| Answer | Count | Percent |
|---|---|---|
| New | 82 | 68% |
| Returning | 38 | 32% |
How to read these questions
- dropdown: Treat like a single choice; group long lists into a few buckets before comparing segments.
- single choice: Read the share choosing each option, then cross-tab by a segment question to see who differs.
Frequently asked questions
Can form submissions be sent to my email or another tool?
Yes. Webhooks and the API deliver each submission in real time; email notifications are available through your automation tool.
How long does the appointment request form take to complete?
About 2 minutes: 6 questions, most of them single-tap. Every question can be edited, removed or reordered in the builder before you publish.
Is this template free to use?
Yes. Every template is included on the Free plan. Sign up, click Use this template, and it is copied into your workspace where you can edit it, add your logo and share it by link, email or embed.
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