FormNGOs / Community Organisations / Field Teams11 questions · ~4 min

Beneficiary Registration Form template

This free Beneficiary Registration Form template helps you register people joining a programme with only the details you need. It has 11 ready-made questions, takes about 4 minutes to answer, and is anonymous by default. Customise every question, then share it by link, QR code or website embed.

Use this template — freeAll templates

Questions in this template

  1. Full name *
    Short text
  2. Age group *
    Single choice
    Under 18 · 18–24 · 25–34 · 35–44 · 45–59 · 60 or over
  3. Gender
    Single choice
    Woman · Man · Non-binary · Prefer not to say · Other
  4. Phone (optional)
    Phone number
  5. Village, town or area *
    Short text
  6. Preferred language
    Single choice
    English · Hindi · Bengali · Tamil · Urdu · Swahili · French · Arabic · Other
  7. Which programme are you joining? *
    Single choice
    Programme A · Programme B · Programme C · Other
  8. How many people live in your household?
    Number
  9. What support would help you most?
    Multiple choice
    Education or training · Health services · Food or nutrition · Income or work · Legal or documentation help · Counselling · Other
  10. Do you need anything to take part?
    Multiple choice
    Help with reading or writing · Wheelchair access · Childcare · Transport · An interpreter · None
  11. How did you hear about the programme?
    Single choice
    Community volunteer · Local leader · Friend or family · Poster or announcement · Social media · Other

* required. Every question is editable.

Recommended settings

Visibility
Unlisted — only people with the link
Responses
Anonymous — not linked to accounts
Results
Only you and your workspace see results
One response per
No limit (people can submit for others)
Consent notice
Included — edit it to match your policy

Best for: Minimal personal data, consent, language and support needs.

Industries: NGO & Non-Profit.

Tip: Collect only what you need. Avoid ID numbers, health details or exact addresses unless the programme truly requires them, and restrict the survey to your programme team.

Best practice for ngo & community impact

  • Explain why you’re asking and that taking part won’t affect anyone’s access to services.
  • Offer the survey in the languages your community speaks — Quibzy supports 21.
  • Use the same questions at baseline and follow-up so you can compare.

Beneficiary Registration Form: frequently asked questions

What questions should a Beneficiary Registration Form include?

A good Beneficiary Registration Form is short and focused. This template asks: Full name · Age group · Gender · Phone (optional) — plus 7 more. Remove anything you won’t act on.

Is the Beneficiary Registration Form anonymous?

Yes. Responses are anonymous by default and aren’t linked to anyone’s account, although the form asks for contact details so you can reply.

How long does the Beneficiary Registration Form take to complete?

About 4 minutes — 11 questions. Shorter forms get more responses.

Can I customise the Beneficiary Registration Form template?

Yes. Every question, option and setting is editable before you publish, and you can add skip logic, pages, a cover image and translations into 20 more languages, from Chinese, Hindi and Spanish to Arabic, Bengali and Hausa.

How do I share the Beneficiary Registration Form and see results?

Publish it to get a link, QR code and embed code. Results update live; export to CSV or Excel, print a PDF report, or connect Google Sheets.

Beneficiary Registration Form template (free) · Quibzy