Customer Advocacy Story Submission Form

Customer Advocacy Story Submission Form — Form Fields

This sales template includes 11 fields. Invite satisfied customers to share their success story for use in case studies, testimonials, and marketing. Free to customize and use on ZenBuild.

• Your Name (text, required)
• Your Job Title (text, required)
• Company Name (text, required)
• Email Address (email, required)
• Industry (dropdown selection, required) — options: Technology, Healthcare, Finance, Education, Retail, Nonprofit, Other
• What problem were you trying to solve before using our product? (long text, required)
• How has our product helped your business? (long text, required)
• What specific results or metrics have you seen? (long text, required)
• How likely are you to recommend us? (1-10) (rating, required)
• Participation Level (dropdown selection, required) — options: Written quote only, Full written case study, Video testimonial, Reference call, Speaking at event
• Upload a photo (optional) (file upload, optional)