Leads and enquiries

The Callback request template

Use it when people would rather be rung than write, and you need a number and a good time.

5 questions, 3 of them required. Publish it as it stands, or change every word first. Applying it is one edit you can undo.

On every plan, including the free one

What it asks

Every question, in order

Each one already has the right kind of answer behind it, so a phone number is a phone field and a date is a date rather than a box somebody types anything into.

Every answer lands on one customer record. A person who fills this in and later fills in another of your forms is one contact with one timeline, not two rows to merge.

The questions on the Callback request template, in order
QuestionAnswerRequired
Your nameShort textYes
Number to ringPhoneYes
Best time to ringDateYes
What is it aboutChoose oneNo
EmailEmailNo

After you publish

What this form can do the moment it is live

Nothing below is an upgrade or an add-on. It is what every published PopzIQ form does, including this one on the free plan.

  • Show it any way

    Inline, popup, slide-in, bar or fullscreen. Same form, one setting.

  • Read its funnel

    Views, starts and submissions, plus where people stop.

  • Test the headline

    Two versions of the words and one sentence about which won.

  • Keep the spam out

    A honeypot, rate limits and an optional challenge that never refuses a lead.

Nearby

More in Leads and enquiries

  • Quote request

    10 questions

    Use it when you price jobs and want everything you need to quote without a second email.

  • Demo request

    9 questions

    Use it when you sell by showing the product and need to know who is worth calling first.

  • Order enquiry

    8 questions

    Use it when people ask about buying something and you need the item, the quantity and where it goes.

Publish the Callback request form today

Create a workspace, apply this template and press publish. Five minutes from signing up to a form collecting answers is the bar we build against.

No card to start. No trial clock. The free plan runs the whole loop.