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Simple Lead Capture Form

Five fields for ads and homepages where speed beats detail.

A ready-to-use lead generation & sales form for sales teams, agencies and independent consultants: 7 questions, 1 page, 2 conditional rules.

Questions
7
Pages
1
Layouts
card · classic
Conditional rules
2
Typical time
1 min
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Live preview and test console

This is the real form. Answer it to test the 2 conditional rules — nothing is sent or stored.

Tell us where to reach you

Include your country code.

Edit these choices to match what you sell.

2 questions are hidden by conditional logic right now — change an answer above to reveal them.

What happens after submit: nothing is stored in this preview. On your own copy, every response triggers an instant email notification and lands in your response dashboard, ready to export or forward.

Happy with it? Take a copy into your workspace — every question, rule and setting comes with it.

Who this template is for

Simple Lead Capture Form is built for sales teams, agencies and independent consultants who need to qualify inbound demand before anyone spends time on a call.

  • Sales teams, agencies and independent consultants working in lead generation & sales.
  • Teams who need to qualify inbound demand before anyone spends time on a call without writing code or paying for a custom build.
  • Anyone replacing unqualified enquiries clogging the pipeline with one structured record per enquiry.
  • Respondents are prospects arriving from ads, search and referrals — the form asks them 7 questions across 1 screen.
  • Mobile-heavy audiences, thanks to the one-question-per-screen card layout.

Why this form is useful

It removes the cost of unqualified enquiries clogging the pipeline and turns each submission into a record your team can act on immediately.

  • 4 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 allows multiple selections without free text.
  • Conditional logic hides 2 questions until they are relevant — shorter forms convert better than long ones.
  • 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.

  1. 1Press “Use this template” — a fresh copy of Simple Lead Capture Form lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 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.
  4. 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.
  5. 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 — 2 conditional rules ship with it.

  • Features advanced show logic: if “Service you are interested in” is Something else, the form dynamically exposes “Tell us what you need”. Otherwise that question never appears.
  • Features advanced show logic: if “Send me occasional tips by email” is checked, the form dynamically exposes “How often would you like to hear from us?”. Otherwise that question never appears.
  • All 2 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.

About this template

Every field you add to an ad landing form costs conversions, so this one carries five and nothing else: first name, email, phone, which service they are interested in, and an optional opt-in for tips. That is enough to call someone and enough to email them, which is all a top-of-funnel form needs to do. The service question is a dropdown you edit to match what you actually sell, so a lead arrives pre-sorted rather than as an anonymous email address. The marketing opt-in is unticked by default and worded plainly, because a list built on quiet defaults performs badly and creates compliance problems later. Rendered in card layout, it fills a phone screen one question at a time, which measurably beats a stacked form on paid traffic. Qualification comes later — this form's only job is to get a real name and a working phone number before the visitor leaves.

What this form asks

Every question is editable — rename it, make it optional, or delete it entirely.

Get in touch

  • First namerequired
  • Email addressrequired
  • Phone numberrequired
  • Service you are interested inrequired
  • Tell us what you need
  • Send me occasional tips by email
  • How often would you like to hear from us?

7 questions in total.

How the form changes as it's filled in

This template ships with 2 conditional rules, grouped into 2 behaviours driven by 2 questions. Everything below is already set up — edit or delete any rule once the template is in your workspace.

Driven by “Service you are interested in”

  • Reveals questions

    If “Service you are interested in” is Something else, the form reveals “Tell us what you need”.

Driven by “Send me occasional tips by email”

  • Reveals questions

    If “Send me occasional tips by email” is checked, the form reveals “How often would you like to hear from us?”.

Set it up step by step

  1. 1

    Edit the service list first

    Replace the placeholder choices with your real services before the form goes anywhere near an ad.

  2. 2

    Set the confirmation message

    Use: "Thanks! Check your email." and send something useful immediately, not just a receipt.

  3. 3

    Keep it at five fields

    Anything you add here belongs on the quote request form instead.

Mistakes to avoid

  • Growing the form field by field until it converts like a quote request.
  • Pre-ticking the marketing opt-in.
  • Sending nothing after the confirmation, so the lead cools within a day.

What it pairs with

Most teams don't run this form on its own. These are the forms and systems it sits next to.

What to do with the responses

Call new leads the same day and put the rest into a short email sequence. A lead that gets no contact for a week is a lost lead.

Works in both layouts

Browse card templatesBrowse classic templates

Forms that overlap this one

These pages cover the same subject ground as the simple lead capture form, matched on the words people actually search for.

Frequently asked questions

Should I ask for a phone number?

If you sell by phone, yes, and expect a small conversion cost. If you sell by email, drop it.

Is one page best?

For five fields, yes. Card layout shows one question at a time, which suits phone traffic.

How do I stop spam submissions?

Turn on the built-in spam protection and skip the captcha unless volume forces it.

Where should this form live?

Ad landing pages, the homepage hero, and anywhere a visitor is interested but not yet ready to describe a job.

Is the Simple Lead Capture Form template free to use?

Yes. You can preview and test Simple Lead Capture Form 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 Simple Lead Capture Form template ask for?

It asks 7 questions across 1 page, 4 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 Simple Lead Capture Form form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the card and classic layouts, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this lead generation & sales form work?

2 conditional rules ship with the template: Features advanced show logic: if “Service you are interested in” is Something else, the form dynamically exposes “Tell us what you need”. Otherwise that question never appears. Features advanced show logic: if “Send me occasional tips by email” is checked, the form dynamically exposes “How often would you like to hear from us?”. Otherwise that question never appears. All 2 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other. All rules are editable in the Logic tab.

Where do responses to the Simple Lead Capture Form 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 Simple Lead Capture Form 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.

Related templates

More forms teams pair with the simple lead capture form.

Related categories

All Lead Generation & Sales templates