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Popup Contact Form Template

Quickly Engage Visitors with Our Popup Contact Form

Frustrated with low engagement on your website? This popup contact form template is designed to help marketers, business owners, and web developers capture visitor information instantly. You'll enjoy increased form submissions, improved lead generation, and enhanced customer interaction, all while maintaining a seamless user experience. Plus, with WCAG-aligned labels, your forms remain accessible to all users. Explore the live template today to see how it works!

Use this Template (FREE) Live Preview
Full name
Email address
Phone number (optional)
What is this regarding?
Sales inquiry
Product support
Account or billing
Partnership or affiliate
Press or media
Feedback or suggestion
General question
Other
Please Specify:
Please describe your request
Preferred contact method
Email
Phone
Either
Preferred time to contact
Morning (9am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-8pm)
No preference
May we contact you about your request?
Yes
No
I would like to receive occasional updates and offers
Yes
No
How did you hear about us?
Search engine
Social media
Online ad
Friend or colleague
Event or webinar
Blog or article
App marketplace
Prefer not to say
Other
Please Specify:
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Email address, Phone number (optional)","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a popup contact form design for FormCreatorAI article

When to use this form

Use this pop-up when you want to catch interest at the right moment. It works on pricing pages, product pages, and help articles to capture questions before visitors leave. Trigger it on exit intent, after a time delay, or when someone scrolls far enough. You get quick, focused messages without sending people to another page. Sales teams can qualify leads on product pages, while support teams gather context to resolve issues faster. If a conversation needs more detail, send high-intent leads to the Get in touch form. For a streamlined option on static pages or footers, consider the Simple business contact form.

Must Ask Popup Contact Questions

  1. How can we help you today?

    This sets intent (sales, support, billing, feedback) so you route and reply faster. Clear categories cut triage time and improve first-response quality.

  2. What is your email or phone number, and which do you prefer?

    Knowing the best channel helps you respond on time and reduces back-and-forth. It also raises your reply rate on urgent issues.

  3. What page or product were you viewing when this opened?

    Page context shows what triggered the message and what content they saw. It helps your team reproduce the path and give specific guidance.

  4. What is your company name and website?

    This qualifies business requests and gives your team context before the follow-up. It also helps you spot fit and tailor examples.

  5. Do we have your consent to follow up about this request?

    Consent builds trust and keeps you compliant with privacy rules. If the message involves bulk orders, you can direct them to the Wholesale inquiry form.

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