Who should use this intake

• Teams that collect intake details.
• People who need a ready intake instead of a blank form.

Why start from this template

• Start with questions written for intake details.
• Copy the template, edit labels, and publish a hosted page.
• Share a link or embed the form.

How to use the Intake form

1. 1

   Open the template

   Use this intake as the starting form.

2. 2

   Sign in or create an account

   A free account saves the form in your workspace so you can edit it.

3. 3

   Edit the questions

   Change labels, add fields, and match the wording to your work.

4. 4

   Publish and share

   Share a hosted link or embed the form. Answers land in your inbox.

Intake form questions

What is the Intake form for?

It collects intake details. You can copy it and change any question.

Who should use a intake?

Use it when you need a simple way to collect intake details.

Can I change the questions?

Yes. After you copy the template, you can add, remove, or rewrite every field before you publish.

Does this template cost money?

The template is free to copy. Most Request Forms features stay free. The paid plan hides branding and adds a custom domain.

Related templates

More templates you can copy.

• Interview form

  Collect interview notes.

  Interview

  Use this form to collect interview notes.

  Full name *

  Email *

  [email protected]

  Phone

  Candidate name *

  Interview date *

  mm/dd/yyyy

  SMTWTFS1234567891011121314

  Overall fit

  1-5

  Notes *

  Advance this person? *

  Yes

  Maybe

  No

  Submit

  Interview form

  Interview

• Lead form

  Collect lead details.

  Lead

  Use this form to collect lead details.

  Full name *

  Email *

  [email protected]

  Phone

  Company or group *

  Interest *

  Select▾

  What you need *

  Team size

  Submit

  Lead form

  Lead generation

• Membership form

  Collect membership sign-ups.

  Membership

  Use this form to collect membership sign-ups.

  Full name *

  Email *

  [email protected]

  Phone

  Plan *

  Select▾

  Start date *

  mm/dd/yyyy

  SMTWTFS1234567891011121314

  Membership fee

  Membership · $49.00 USD

  Pay

  Member ID if any

  Interests

  News

  Events

  Volunteer

  Training

  Submit

  Membership form

  Membership

• Onboarding form

  Collect onboarding details.

  Onboarding

  Use this form to collect onboarding details.

  Full name *

  Email *

  [email protected]

  Phone

  Start

  First day *

  mm/dd/yyyy

  SMTWTFS1234567891011121314

  Role or program *

  Setup

  Items received

  Badge

  Account

  Guide

  Equipment

  Buddy

  Questions

  Submit

  Onboarding form

  Onboarding

• Order form

  Collect orders.

  Order

  Use this form to collect orders.

  Full name *

  Email *

  [email protected]

  Phone

  Item or package *

  Quantity *

  Order total

  Order · $35.00 USD

  Pay

  Delivery notes

  Needed by

  mm/dd/yyyy

  SMTWTFS1234567891011121314

  Submit

  Order form

  Order

• Payment form

  Collect payments.

  Payment

  Use this form to collect payments.

  Full name *

  Email *

  [email protected]

  Phone

  Invoice or reason *

  Pay now

  Payment · $75.00 USD

  Pay

  Reference number *

  Payment notes

  Submit

  Payment form

  Payment

• Petition form

  Collect petition signatures.

  Petition

  Use this form to collect petition signatures.

  Full name *

  Email *

  [email protected]

  Phone

  Petition title *

  Statement *

  I support this petition

  City *

  Signature *

  Submit

  Petition form

  Petition

• Poll form

  Collect poll votes.

  Poll

  Use this form to collect poll votes.

  Full name *

  Email *

  [email protected]

  Phone

  Your choice *

  Option A

  Option B

  Option C

  Not sure

  Why you chose this

  Submit

  Poll form

  Poll