Feedback & contact forms

Testimonial collection form template

A guided way to collect quotable testimonials: the problem, the result, a quote and permission to publish.

6 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: After a successful project or a 9–10 NPS score.
Who it is for: Happy customers.

How to use this template

Keep it to four fields.
Set an expectation for reply time.
Route complaints to a person, not a shared inbox.

Questions in the testimonial collection form template

1. Your details
contact info
2. What problem were you trying to solve before working with us?
open text
3. What result have you seen?
open text
4. In one or two sentences, what would you tell someone considering us?
open text
5. How may we use your words?
single choice · With my name and company, With my first name only, Anonymously, Do not publish
6. Would you take part in a short case study?
single choice · Yes, Maybe, 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.How may we use your words?

120 answered

Answer distribution
Answer	Count	Percent
With my name and company	11	9%
With my first name only	52	43%
Anonymously	9	8%
Do not publish	48	40%

2.Would you take part in a short case study?

120 answered

Answer distribution
Answer	Count	Percent
Yes	26	22%
Maybe	54	45%
No	40	33%

How to read these questions

single choice: Read the share choosing each option, then cross-tab by a segment question to see who differs.

Frequently asked questions

What fields should a contact form have?

Name, email, topic (dropdown) and message. Phone is optional. Everything else reduces submissions.

How long does the testimonial collection form take to complete?

About 3 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.