Appliance Repair Request — shared by the community
Marta K. shared this 13-question build with 3 conditional rules already wired up. Test it below, then take a copy.
A ready-to-use home services & trades form for builders, electricians, plumbers and contractors: 13 questions, 2 pages, 3 conditional rules.
- Shared by
- Marta K. · Practice manager
- Questions
- 13
- Replies
- 21
- Copies taken
- 282
appliance repair request form, appliance repair quote form, washing machine repair request, refrigerator repair service form, appliance service call form, dryer repair estimate form, appliance repair request, appliance repair request forms, appliance repair request template, online appliance repair request, appliance, appliances, repair, repairs, request, requests, speed, triage, brand, trades form, estimate request, quote form, job request, callout form, contractor form, renovation form, site visit, home services, repair booking, appliance repair request example, shared appliance repair request
Live preview and test console
This is the real form. Answer it to test the 1 conditional rule — nothing is sent or stored.
Page 1 of 2 — Appliance details
Every question on this page is currently visible.
Works for you? Take Marta K.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Appliance Repair Request is built for builders, electricians, plumbers and contractors who need to scope a job and price it without a site visit for every enquiry.
- Builders, electricians, plumbers and contractors working in home services & trades.
- Teams who need to scope a job and price it without a site visit for every enquiry without writing code or paying for a custom build.
- Anyone replacing quoting blind and travelling out for work that never lands with one structured record per enquiry.
- Respondents are homeowners and site managers — the form asks them 13 questions across 2 screens.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of quoting blind and travelling out for work that never lands and turns each submission into a record your team can act on immediately.
- 5 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It collects a verified email address so replies and confirmations land.
- It captures a phone number for urgent follow-up.
- It pins the request to a specific date.
- It captures a full postal address.
- Conditional logic hides 3 questions until they are relevant — shorter forms convert better than long ones.
- Splitting the form across 2 pages keeps each screen short and shows respondents how much is left.
- Every response is stored, searchable and exportable, so nothing depends on one person's inbox.
How to use this template
From copy to live form is a few minutes of work, and every step is reversible.
- 1Press “Use this template” — a fresh copy of Appliance Repair Request lands in your workspace, ready to edit.
- 2Rename or delete any question, and change what is required. Nothing here is fixed.
- 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
- 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
- 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.
Logic and conditions blueprint
Exactly how this form behaves as it is answered — 3 conditional rules ship with it.
- Features advanced show logic: if “Is the appliance still under warranty?” is Yes, manufacturer warranty, the form dynamically exposes “Purchase date”. Otherwise that question never appears.
- Features advanced show logic: if “Is the appliance still under warranty?” is Yes, extended/service plan warranty, the form dynamically exposes “Purchase date”. Otherwise that question never appears.
- Features conditional validation: if “Is the appliance completely unusable or partially working?” is Completely unusable, “When did the appliance stop working?” becomes mandatory before the form can be sent.
- All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
What this form asks
Page 1 — Appliance details
- Full namerequired
- Email addressrequired
- Phone number
- Service address
- Appliance typerequired
- Brand
- Model number (if known)
Page 2 — Problem and warranty
- Describe the problemrequired
- Is the appliance completely unusable or partially working?required
- When did the appliance stop working?
- Is the appliance still under warranty?
- Purchase date
- When would you like the repair visit?
Conditional logic in this build
- When “Is the appliance still under warranty?” is Yes, manufacturer warranty, show “Purchase date”.
- When “Is the appliance still under warranty?” is Yes, extended/service plan warranty, show “Purchase date”.
- When “Is the appliance completely unusable or partially working?” is Completely unusable, require “When did the appliance stop working?”.
Questions about this shared form
How is this different from the HVAC Service Request Form?
HVAC covers heating and cooling systems specifically; this form is for standalone household appliances like fridges, washers and ovens, which have different brands, parts and warranty structures.
What if the issue seems electrical rather than mechanical?
If the problem is with home wiring or the outlet itself rather than the appliance, route it to the Electrical Service Quote Form instead.
Should I still take the job if it's under warranty?
That depends on your business — many independent repair companies only take out-of-warranty jobs, so use this field to filter and redirect warranty jobs to the manufacturer.
What about appliances connected to water lines, like dishwashers?
If there's an active leak or water damage risk, treat it as urgent and consider the Plumbing Emergency Callout form if the water connection itself is the issue rather than the appliance.
Is the Appliance Repair Request template free to use?
Yes. You can preview and test Appliance Repair Request on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.
What does the Appliance Repair Request template ask for?
It asks 13 questions across 2 pages, 5 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.
Can I edit the Appliance Repair Request form after copying it?
Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.
How does the conditional logic in this home services & trades form work?
3 conditional rules ship with the template: Features advanced show logic: if “Is the appliance still under warranty?” is Yes, manufacturer warranty, the form dynamically exposes “Purchase date”. Otherwise that question never appears. Features advanced show logic: if “Is the appliance still under warranty?” is Yes, extended/service plan warranty, the form dynamically exposes “Purchase date”. Otherwise that question never appears. Features conditional validation: if “Is the appliance completely unusable or partially working?” is Completely unusable, “When did the appliance stop working?” becomes mandatory before the form can be sent. All rules are editable in the Logic tab.
Where do responses to the Appliance Repair Request form go?
Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.
Can I embed the Appliance Repair Request form on my own website?
Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.
More from the community
Quick Callout Request
Emergency-friendly trades callout: postcode, problem, urgency, number.
Lawn Care Quote Request Form
Price a mowing or yard maintenance route without a site visit.
Landscaping Project Brief Form
Scope a design or install job: budget, drainage, plants and timeline.
Handyman Job Request Form
Triage repair callouts by task, urgency, access and photos before you drive.
Estimate Approval Form
Customer sign-off on a quoted total, deposit terms and change-order handling before trades work begins.
HVAC Service Request Form
Triage heating and cooling calls by system type, urgency and age before you dispatch.

