Support request form template
A help-desk form with priority, a reference number and an optional screenshot.
8 questions · logic
What it asks
- Full nameShort text, required
- EmailEmail, required
- What do you need help with?Dropdown, required
- How urgent is it?Single choice, required
- Phone number, so we can call you backPhone
- Order or reference numberShort text
- Describe the problemLong text, required
- ScreenshotFile upload
File uploads come with the Starter plan and up. On the Free plan, the form starts without its upload question.
Logic
- Shows “Phone number, so we can call you back” when “How urgent is it?” is “Urgent”.
- Makes “Phone number, so we can call you back” required when “How urgent is it?” is “Urgent”.
Try it in the preview. How conditional logic works
After someone submits
They see: “We've got your request and will be in touch soon. Urgent requests are answered first.”
You get an email for each submission, and every answer is stored encrypted in your dashboard.
More contact templates
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- Request a quoteCollect what a prospect needs, their budget and timeline, so you can price the job.
- Request a call backA short form for people who would rather talk: number, best time and reason.
- Newsletter sign-upEmail, first name and topics of interest, with clear consent to receive emails.