FormWebsites / SaaS / SMEs10 questions · ~2 min

Contact & Support Request Form template

This free Contact & Support Request Form template helps you capture enquiries and support requests in a structured way. It has 10 ready-made questions, takes about 2 minutes to answer, and is anonymous by default. Customise every question, then share it by link, QR code or website embed.

Questions in this template

  1. Your name *
    Short text
  2. Email address *
    Email address
  3. Company / organisation
    Short text
  4. What is your enquiry about? *
    Single choice
    General enquiry · Sales · Technical support · Billing · Feedback · Other
  5. Subject *
    Short text
  6. Describe your question or issue *
    Long text
  7. How urgent is this request?
    Single choice
    Low · Normal · High
  8. Preferred contact method
    Single choice
    Email · Phone
  9. Phone number
    Phone number · shown only for some answers
  10. Order, account or ticket number (if any)
    Short text

* 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: Enquiry types, urgency, reference number.

Industries: useful in every industry.

Best practice for customer support

  • Ask for a reference number (order, tracking or account) so you can find the case quickly.
  • Tell people never to send passwords or full card details through the form.
  • Make the thank-you message honest: a submission isn’t a resolved ticket or an approved claim.

Contact & Support Request Form: frequently asked questions

What questions should a Contact & Support Request Form include?

A good Contact & Support Request Form is short and focused. This template asks: Your name · Email address · Company / organisation · What is your enquiry about? — plus 6 more. Remove anything you won’t act on.

Is the Contact & Support Request 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 Contact & Support Request Form take to complete?

About 2 minutes — 10 questions. Shorter forms get more responses.

Can I customise the Contact & Support Request 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 Contact & Support Request 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.

Contact & Support Request Form template (free) · Quibzy