Lead Capture Form template
Qualify inbound leads with company size, budget and timing before sales follows up.
Free • 7 questions • Fully customizable
1. Full name
Open text response
2. Work email
3. Company
Open text response
4. Company size
- Just me
- 2–10
- 11–50
- 51–200
- 201–1,000
- 1,000+
5. What is your budget for this?
- Under $1,000
- $1,000–$5,000
- $5,000–$20,000
- Over $20,000
- Not sure yet
6. When are you looking to start?
- Right away
- Within a month
- Within 3 months
- Just researching
7. Anything else we should know?
Open text response
Why use this form template?
The Lead Capture Form template gives you a proven starting point so you can launch faster. Every question is editable, responses are unlimited, and you can share by link or QR code in minutes — all free.
Template questions
Is the Lead Capture Form template free?
Yes. The Lead Capture Form template is completely free to use, with unlimited responses and no credit card required.
Can I customize the questions?
Absolutely. Every question is fully editable — add, remove, reorder, and reword questions, change answer options, and adjust settings before you share.
How do I share it?
Once you customize the template, share it with a link or QR code. Respondents can answer on any device with no sign-up required.
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No credit card. No trial limits. Unlimited surveys, quizzes, polls, and responses — all free.