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Testimonial Request Form Template

Gather Valuable Feedback with a Simple Testimonial Request

Are you struggling to capture the positive feedback from your customers? This testimonial request form template helps you easily gather authentic testimonials that can enhance your reputation and credibility. By using this template, you can streamline the process of requesting testimonials, showcase your clients' experiences, and obtain consent to publish their feedback-all in one go. Enjoy seamless collection of feedback, improved client engagement, and the ability to leverage testimonials for marketing. Experience how simple it is by trying out the live template.

Use this Template (FREE) Live Preview
Full name
Job title
Company or organization
Email
Which of our products or services did you use?
Overall, how satisfied are you with your experience?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Your testimonial or quote
How should we attribute your testimonial?
Full name, job title, and company
Full name and company
First name and company
First name only
Initials only
Anonymous
Where may we display your testimonial?
May we make light edits for clarity and length while preserving your intent?
Yes
No
Additional notes or context (optional)
May we use your company name with your testimonial?
Yes
No
Not applicable
Type your full name as your electronic signature
Date
Do you grant permission for us to use your testimonial as selected above?
Yes
No
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Job title, Company or organization","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration highlighting testimonial request form template for FormCreatorAI article

When to use this form

Use this form when a customer is fresh off a win: right after onboarding, a successful project delivery, or a support save. It helps marketers, founders, and customer success capture clear, permissioned quotes you can publish on your site, sales decks, and marketplaces. Trigger the ask after purchase with a short pulse using the Post purchase survey form so the value is still top of mind. For longer stories or case studies, route power users to the Testimonial form. Agencies, SaaS teams, and coaches will collect outcomes, specifics, and attribution while details are fresh, leading to credible social proof that drives conversions.

Must Ask Testimonial Request Questions

  1. What challenge were you facing before working with us?

    This frames the before state so readers see the gap you filled. It prompts concrete context instead of general praise.

  2. What result did you achieve, and in what timeframe?

    Numbers, time saved, or revenue gained create proof that persuades. Timeboxing also prevents vague or inflated claims.

  3. Which feature, service, or moment made the biggest difference, and why?

    A standout detail makes the story memorable and useful. It also guides product and messaging priorities.

  4. May we publish your full name, role, company, and headshot?

    Clear consent and attribution boost trust and keep you compliant. It reduces edits later and speeds approval.

  5. How likely are you to recommend us to a friend or colleague (0-10)?

    A quick rating adds a comparable metric you can track over time. If you also want deeper specifics, pair this with the Product review form.

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