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Enter primary contact's full name
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Enter primary contact's full name
Enter primary contact's email address
Choose a password (at least 6 characters, no spaces, case-sensitive)
  • Your account is being created in the
By proceeding, you agree to the Terms of Service and Privacy Policy.
Or, sign up with email

user-picsrating-star crowd-logo captera-logo Rated 4.8/5 stars

Data Capture Form Template

Want to gain warm leads? Collect visitors' information and convert them into lucrative leads using this data capture form template.
  • Try 7 days for Free
  • Lightening fast setup

Understanding Data Capture Form Template

Collecting and managing data appropriately is the key to gaining your customer's attention and achieving maximum leads.

Capturing data help you get all the relevant information about your customers. With a data capture form template, you can simply gather relevant data about the prospective customers. The information collected from the users helps you gain customers' attention and convert them into leads. Convert all of your customers into leads, and be prepared for your first call.

To use the Data Capture Form Template, just sign up or sign in to Zonka Feedback. You’ll be able to choose this template when you begin creating your feedback form or survey. Customize it today and start sharing!

List of Data Capture Form Questions

The following questions are included in Data Capture Form Template:

  • What is your full name?
  • What's the name of your company?
  • And what's your job title at?
  • What brought you here, please?
  • Okay, could you tell us a bit more?
  • Where can we send a follow-up email?

Sign Up on Zonka Feedback for free and implement this Data Capture Form Template in your account to collect information from customers.

Create and send this Data Capture Form Template

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