Contact Us Form Template
The Contact Us Form is a free survey template with 4 questions, 4 of them required. Preview every question on this page without an account, then copy it into Survtapp, change any wording, and start collecting answers on the web or on a tablet.
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What is in the Contact Us Form template?
The Contact Us Form template holds 4 questions, 4 of which must be answered before it can be submitted and 0 of which are optional. Between them they capture short typed answers, an email address and longer written comments.
Broken down by field type, the Contact Us survey is 2 text fields, 1 comment boxes and 1 contact fields.
When should you use the Contact Us Form template?
The Contact Us Form is filed under “Contact”, “Lead” and “Enquiry”, in the Marketing & Agencies part of the library, where it is aimed at agencies and in-house teams gathering input from a client or an audience. A simple contact form to capture enquiries from your website.
Surveys get answered wherever the respondent already is — a link in an email, a QR code on a receipt, a tablet handed across a counter, or a kiosk-locked device left on a stand. At 4 questions, the Contact Us survey is short enough to finish in one sitting, which is what keeps completion rates up.
Does the Contact Us Form work offline?
Yes. Once the Contact Us Form is published, the 4 fields and every answer option are stored on the device, so the survey opens and completes with no connection at all. Each response is written to the device first and queued; when signal returns it syncs on its own, keeping the time it was actually captured rather than the time it uploaded.
Because all 4 fields in the Contact Us Form are text and choice inputs, a queued response is tiny and syncs the moment any connection appears — a shared hotspot is plenty. Kiosk mode locks a tablet to this survey alone, so the next person cannot wander into anything else.
How do you customise the Contact Us Form template?
Open the Contact Us survey in the builder and all 4 questions land as editable fields — nothing is locked to the template. Rewrite the wording, drag fields into a different order, flip any of the 4 required fields to optional (or the other way round), and add anything missing from the 20+ field types in the builder.
The Contact Us Form runs on a single screen as it stands. Add a page break to split its 4 fields across several, or conditional logic to hide fields that an earlier answer has made irrelevant.
Nothing about the Contact Us Form stays Survtapp-branded, either: your logo, your colours and your own URL slug replace ours, so the 4 fields you publish read as part of your own site rather than as a template someone downloaded.
What happens to the responses you collect?
Every response from the Contact Us survey lands in one place with its timestamp, the agent who collected it and, where the device allows, where it was captured. From there written comments are listed in full rather than summarised away.
Export the lot to CSV, Excel, JSON or PDF whenever you want it elsewhere, or set a trigger so a response from the Contact Us Form emails the right person the moment it arrives. Data is held in Canada, the responses stay yours, and you can export or delete them at any time.
What are the 4 questions in the Contact Us Form?
Here is every field in the order a respondent meets it, with the answer type it uses. Nothing here is fixed — the list is where you start, not what you are stuck with.
- 1
Full Namerequired
Short text
- 2
Email Addressrequired
Email
- 3
Subjectrequired
Short text
- 4
Your messagerequired
Long text
How do you start using the Contact Us Form?
Preview it. Read all 4 questions in the Contact Us Form on this page. No account is needed to preview a template.
Copy it into your account. Create a free Survtapp account and use the template. The Contact Us Form arrives as an editable survey, not a locked copy.
Make it yours. Rewrite the wording, reorder the Contact Us survey's 4 fields, adjust which of the 4 required ones stay required, and apply your logo and colours.
Publish and collect. Share a link or QR code, or open the Contact Us Form on a tablet in kiosk mode. It collects responses offline and syncs when the device reconnects.
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How will the Contact Us Form look to the person filling it in?
This is the live preview, rendered with the same field widgets the published survey uses. It is read-only here, and your own logo and colours replace ours once it is in your account.
Which templates are like the Contact Us Form?
These share a tag with it in the free library, so they tend to suit the same job. Every one is free to preview without an account.
- Home Buyer QuestionnaireQualify buyers and understand their property needs and budget.
- Trade Show Lead Capture FormCapture qualified leads at your booth quickly and consistently.
Or browse every free form template, or just the ones tagged Contact.
Questions, answered plainly
How many questions are in the Contact Us Form template?
The Contact Us survey has 4 questions, 4 of them required and 0 optional. You can add, remove or reorder any of them once the template is in your account.
Is the Contact Us Form template free to use?
Yes. All 4 questions in the Contact Us survey are free to preview here with no account, and the template is free to copy into Survtapp. A free account is enough to customise and publish it; the pricing page lists what each plan includes.
Can I change the questions in the Contact Us Form?
Yes — all 4 fields in the Contact Us Form are editable. Rewrite any question, change which fields are required, reorder them, and add fields from the 20+ types in the builder.
Does the Contact Us Form work without an internet connection?
Yes. The Contact Us survey and all 4 of its fields are cached on the device, so it opens and completes offline. Each response queues locally and syncs automatically when the connection returns, keeping its original capture time.
What devices can the Contact Us Form be filled in on?
Any modern browser, plus the Survtapp iOS and Android apps. The Contact Us survey's 4 fields can run on a shared kiosk-locked tablet, on a link people open on their own phone, or behind a QR code on a poster or a receipt.
Who can see the responses collected with the Contact Us Form?
Only the people in your account you give access to, per their role. Every answer to the Contact Us survey's 4 fields is stored in Canada, is never sold, and can be exported to CSV, Excel, JSON or PDF — or deleted — at any time.