Support request form template
Product, issue type, urgency, description, steps to reproduce and preferred contact, routed to your helpdesk.
7 questions · about 3 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
- Linked from the help centre.
- Who it is for
- Customers needing help.
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 support request form template
1. Your details
contact info
2. Product or service
dropdown · Product A, Product B, Billing, Account
3. Type of issue
single choice · Something is broken, How do I…, Billing question, Feature request, Other
4. How urgent is it?
single choice · Low — when you can, Normal, High — blocking my work, Critical — service down
5. Describe the issue
open text
6. Steps to reproduce, if relevant
open text
7. Preferred contact method
single choice · Email, Phone, Either
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.Product or service
120 answered| Answer | Count | Percent |
|---|---|---|
| Product A | 40 | 33% |
| Product B | 9 | 8% |
| Billing | 26 | 22% |
| Account | 45 | 38% |
2.Type of issue
120 answered| Answer | Count | Percent |
|---|---|---|
| Something is broken | 35 | 29% |
| How do I… | 15 | 13% |
| Billing question | 9 | 8% |
| Feature request | 27 | 23% |
| Other | 34 | 28% |
3.How urgent is it?
120 answered| Answer | Count | Percent |
|---|---|---|
| Low — when you can | 19 | 16% |
| Normal | 43 | 36% |
| High — blocking my work | 46 | 38% |
| Critical — service down | 12 | 10% |
4.Preferred contact method
120 answered| Answer | Count | Percent |
|---|---|---|
| 39 | 33% | |
| Phone | 42 | 35% |
| Either | 39 | 33% |
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 support request form take to complete?
About 3 minutes: 7 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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