FormSmall Retailers9 questions · ~3 min

Order Request Form template

This free Order Request Form template helps you collect order details, quantities and delivery preferences. It has 9 ready-made questions, takes about 3 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. Your name *
    Short text
  2. Phone / WhatsApp *
    Phone number
  3. Email (optional)
    Email address
  4. What would you like to order? *
    Multiple choice
    Product A · Product B · Product C
  5. Quantities for each item *
    Short text
  6. Delivery or pick-up? *
    Single choice
    Delivery · Self pick-up
  7. Delivery address
    Short text · shown only for some answers
  8. Preferred date *
    Date
  9. Notes
    Long 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: Conditional items, confirmation.

Best practice for operations

  • Make required fields truly required, and everything else optional.
  • Use a webhook to send new requests to your team’s tools.
  • Restrict supplier scorecards to the procurement team.

Order Request Form: frequently asked questions

What questions should a Order Request Form include?

A good Order Request Form is short and focused. This template asks: Your name · Phone / WhatsApp · Email (optional) · What would you like to order? — plus 5 more. Remove anything you won’t act on.

Is the Order 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 Order Request Form take to complete?

About 3 minutes — 9 questions. Shorter forms get more responses.

Can I customise the Order 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 Order 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.