Skip to content
SurveyHood
Orders & payments

Donation pledge form template

Pledge amount, frequency, designation, recognition preference and contact, with the payment link in the confirmation.

7 questions · about 2 minutes to complete · free on every plan

More forms templates

Free account required. The template is copied into your workspace; edit anything before publishing.

When to use it
During campaigns and events.
Who it is for
Supporters making a pledge.

How to use this template

  1. List items with prices in the option labels.
  2. Confirm totals in the thank-you message; collect payment through your payment link.
  3. Export daily.

Questions in the donation pledge form template

  1. 1. Your details

    contact info

  2. 2. Pledge amount

    single choice · $25, $50, $100, $250, $500, Other (tell us below)

  3. 3. Other amount

    open text

  4. 4. Frequency

    single choice · One-off, Monthly, Annually

  5. 5. Direct my gift to

    dropdown · Where it is needed most, Programme A, Programme B, Capital appeal

  6. 6. Recognition

    single choice · List my name, Keep my gift anonymous

  7. 7. May we send you updates by email?

    single choice · Yes, No

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.Pledge amount

120 answered
Answer distribution
AnswerCountPercent
$252017%
$501412%
$1001815%
$2501412%
$5004033%
Other (tell us below)1412%

2.Frequency

120 answered
Answer distribution
AnswerCountPercent
One-off2420%
Monthly4941%
Annually4739%

3.Direct my gift to

120 answered
Answer distribution
AnswerCountPercent
Where it is needed most1916%
Programme A2118%
Programme B3933%
Capital appeal4134%

4.Recognition

120 answered
Answer distribution
AnswerCountPercent
List my name3731%
Keep my gift anonymous8369%

How to read these questions

  • single choice: Read the share choosing each option, then cross-tab by a segment question to see who differs.
  • dropdown: Treat like a single choice; group long lists into a few buckets before comparing segments.

Frequently asked questions

Can an order form take payment?

Not directly yet. Collect the order and send a payment link in the thank-you message or confirmation email.

How long does the donation pledge form take to complete?

About 2 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.