Form · Customer success

Customer service request form template

The request type decides what is asked next. A repair is asked which product and what's wrong, an installation visit is asked what it's for, the address, the earliest date and any access notes, and a cancellation is asked why, so every request arrives ready to act on.

15 questions~3 min to answer1 branch
service requestcustomer service formrepair requestinstallation requestbranching
Use this template

Try it live

Try it as a respondent

Every question, and where it leads

The conversation

What a respondent is asked, in order.

Hi! Tell us what you need and we'll get the right person on it.

1

Who is the request for?

Contact info · required
2

Your customer, order or account number

Short text · optional
3

What do you need help with?

Single select · requiredsplits the flow
4

Which product needs attention?

Short text · requiredif request type is Repair or fix something
5

What's wrong with it, and when did it start?

Long text · requiredif request type is Repair or fix something
6

Is it still under warranty?

Yes / No · optionalif request type is Repair or fix something
7

What are we installing or setting up?

Short text · requiredif request type is An installation or setup visit
8

Where should we come?

Address · requiredif request type is An installation or setup visit
9

What's the earliest date that suits you?

Date · requiredif request type is An installation or setup visit
10

Anything our technician should know about access or parking?

Long text · optionalif request type is An installation or setup visit
11

What's the main reason you're cancelling?

Single select · requiredif request type is Cancel a service
12

Tell us what you'd like us to do.

Long text · requiredsometimes asked
13

Any photos or documents that would help?

File upload · optionalsometimes asked
14

How soon do you need this sorted?

Single select · requiredsometimes asked
15

When is the best time to reach you?

Single select · optional

Ends with

Request received 🛠️

The flow

Where each answer leads. Every route here is editable once the form is yours.

A labelled route is taken only by answers matching the label

What this template uses

  • Contact info
  • Short text
  • Single select
  • Long text
  • Yes / No
  • Address
  • Date
  • File upload
  • 6 branches

Questions to consider

  • Which request types do you actually handle? Remove the arms for anything you don't offer.
  • Do cancellations go to a different team, and should they get a call before anything is processed?
  • What does a technician need to know before a visit, such as parking, pets or building access?
  • Is there a warranty or order number you need before you can book a repair?

How to use the responses

Filter by request type in the dashboard so each team sees its own queue, and handle the ones marked as soon as possible first. Book installation visits from the preferred date and pass the access notes to the technician. Read the cancellation reasons every month: a pattern of the same reason is something to fix before it costs you more customers.

How to customize and share it

  1. 1Edit the request types and their follow-up questions to match the services you offer.
  2. 2Change the priority options to wording that fits your reply times.
  3. 3Put the link on your website, in order confirmation emails and on printed service paperwork.

Frequently asked questions

What is a customer service request form?

A form customers use to ask for something to be done, such as a repair, a return, a visit or a change to their account. It collects the details your team needs to act without a back-and-forth.

Can one form handle different kinds of requests?

Yes. This form branches on the request type, so a repair, an installation and a cancellation each get their own follow-up questions and skip the rest.

How is a service request different from a complaint?

A service request asks for something to be done. A complaint reports that something went wrong and asks for it to be put right, which needs different questions.

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Ask like a person. Watch them finish.