Testimonial Request Form
Ask a happy customer for a quote you are allowed to publish, with the permission and the attribution settled in the same submission.
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Opens in the builder. Nothing is saved until you edit it.
- Fields
- 11 questions
- Theme
- Forest, switchable in the preview
- Updated
- 11 August 2026
Categories
- Marketing
- Marketing Forms
- Feedback Forms
- Consent Forms
Ideal for
- Marketing teams
- Customer success
- Founders
- Agencies
Best used in
- Case studies
- Website social proof
- Sales collateral
About this template
Asking a customer for a testimonial usually produces something polite and useless, because a blank box is a hard prompt. Asking what the problem was before, what changed after, and then for one sentence gives you a structure that writes the quote almost by itself.
The permission section is what makes this form worth more than a nice email. Attribution and usage are settled in the same submission, so marketing can put the quote on a pricing page without going back to ask, which is the step that usually never happens.
The help text asking for a number in the result field is doing quiet work, since a testimonial with a figure in it outperforms an enthusiastic one without. Keep the anonymous attribution option, because a strong quote from an unnamed director still beats no quote.
Templates are a starting point, not legal or professional advice. Where a form carries consent, medical, or contractual wording, have somebody qualified review it against the rules that apply to you before you publish.
Fields in this template
- Your name*Short text
- Job title*Short text
- Company*Short text
- Email address*Email
- What was the problem before you started using us?*Long text
- What changed after?*Long text
- If you had to sum it up in one sentence?*Long text
- How would you like to be credited?*Single choice
- Where may we use it?*Multiple choice
- A headshot or company logo, if you are happy to share oneFile upload
- LogoMultiple choice
Every field can be renamed, reordered, made optional, or removed once the template is open in the builder.
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