Skip to content

Lead generation form template

Tell us about your project

A ready-to-use lead generation form template with 12 questions already written and tested. Open it, brand it as your own and launch in minutes. Free to start, no card required.

12 questions · ~2 min

Use this templateSee the product

Lead forms turn interest into qualified contacts. Balance is everything: ask just enough to follow up without scaring people off. Every extra field lowers conversion, so prioritise the email and one or two questions that tell you whether the lead is worth a call before you make it.

What respondents see

A couple of minutes to understand your situation and connect you with the right specialist. No cold calls.

What this template asks

  1. Open textWhat is your full name?
  2. EmailWhat is your work email?
  3. Open textWhat company do you work for?
  4. DropdownWhat is your industry?
    • Technology and software
    • Industry and manufacturing
    • Retail and e-commerce
    • Professional services
    • Healthcare
    • Education
    • Banking and insurance
    • Tourism and hospitality
    • Public sector
    • Other
  5. Single choiceHow many employees does the company have?
    • 1 to 10
    • 11 to 50
    • 51 to 200
    • 201 to 1,000
    • More than 1,000
  6. Single choiceWhat is your role in this decision?
    • I decide
    • I influence the decision
    • I'll be a user of the solution
    • I'm just exploring
  7. Multiple choiceWhat challenges do you want to solve?
    • Gain efficiency and save time
    • Reduce costs
    • Grow sales
    • Get better data for decisions
    • Integrate scattered tools
    • Compliance and security
  8. Single choiceWhat do you currently use for this?
    • A competitor's tool
    • Something built in-house
    • Spreadsheets and manual processes
    • Nothing yet
  9. Single choiceWhat annual budget do you have for this solution?
    • Less than 1,000 EUR
    • Between 1,000 and 5,000 EUR
    • Between 5,000 and 20,000 EUR
    • More than 20,000 EUR
    • Not yet defined
  10. Single choiceWhen would you like to have it up and running?
    • As soon as possible
    • In the next 3 months
    • In the next 6 months
    • This year
    • Just researching
  11. Yes / NoWould you like us to prepare a personalized demo for you?
    • Yes, I'm interested
    • Not yet
  12. Open textTell us about your case in your own words

Frequently asked questions

What is a lead generation form template?
It is a pre-built lead generation form questionnaire with 12 ready-to-send questions. Use it as-is or adapt it to your case in Camaleonic Survey's visual editor.
Is it free?
Yes. You can create an account and use this template for free, no card required. Paid plans add advanced analytics, live results and more.
Can I customize it?
Completely. Change questions, logic, typography and color so the survey looks like your brand, not a generic form.

Related templates