Customer Win-Back Campaign Enrollment

Customer Win-Back Campaign Enrollment — Form Fields

This business template includes 9 fields. Lapsed customers are invited to re-engage through a win-back offer and preference update form. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• How Long Since Your Last Purchase? (dropdown selection, required) — options: Less than 6 months, 6–12 months, 1–2 years, Over 2 years
• Primary Reason for Lapse (dropdown selection, required) — options: Found a Competitor, Price, Didn't Need It, Poor Experience, Forgot About Us
• I'd like to receive a discount offer (checkboxes, optional)
• I'd like to update my communication preferences (checkboxes, optional)
• Preferred Contact Method (dropdown selection, required) — options: Email, SMS, Phone
• Updated Phone Number (text, optional)
• Feedback You'd Like to Share (long text, optional)