Introducing User Segmentation — Deliver surveys and feedback forms with precise targeting using powerful User Segments. Learn more ➝

Get it For Free
×
Request a Demo

Book a Demo with Zonka Feedback

close-icon

Get Started for Free

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

close-icon

Get Started for Free

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

Lead Generation Form Template

Capture more qualified leads on your website and convert them into your customers effectively with this Website Lead Generation Form Template. 

  • Try 7 days for Free
  • Lightening fast setup
Capture real-time data from interested customers with ease using this Website Lead Generation Form template. Boost your conversion and capture more qualified leads by knowing what the potential customers are interested in, the most. 

Questions in Lead Generation Form

  1. 1. How did you discover our website?
    • Search engine (e.g., Google, Bing)
    • Social media (e.g., Facebook, Twitter, LinkedIn)
    • Referral from a friend or colleague
    • Online advertisement
    • Other (please specify)
  2. 2. What is the main reason for your visit to our website?
    • Seeking information about our products/services
    • Requesting a quote or consultation
    • Making a purchase or placing an order
    • Inquiring about partnership opportunities
    • Other (please specify)
  3. 3. Contact Information
    • Full Name
    • Email
    • Mobile Number

Create and send this Lead Generation Form

Get Started