Questionnaire template
Prospect Needs and Interest Form
Qualifies business leads by capturing role, industry, current challenges and views of your services.
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Marketing · Lead generation. All Marketing templates
Questions in this template
About You
Thanks for sharing a few minutes with us. Your answers help us understand your situation so we can offer support that fits.
-
Which best describes your position in your organisation?
Choose one from a list:
- Executive
- Manager
- Specialist
- Staff member
- Other
-
Please describe your position.
Asked only when
q_role.outcome == 5Open answer
-
How long have you held this position?
Choose one:
- Less than 1 year
- 1 to under 3 years
- 3 to 5 years
- More than 5 years
-
In which sector does your organisation mainly work?
Choose one from a list:
- Manufacturing
- Retail and wholesale
- Information technology
- Finance and insurance
- Healthcare
- Education
- Professional services
- Public sector
- Non-profit
- Other
-
Please name your sector.
Asked only when
q_industry.outcome == 10Open answer
Needs and Challenges
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Which obstacles are you dealing with at the moment? Select all that apply.
Choose any that apply:
- Limited budget
- Allocating resources
- Meeting deadlines
- Integrating technology
- Training staff
- Other
-
What other obstacle are you dealing with?
Asked only when
q_challenges.outcome is not None and q_challenges.outcome & 32 > 0Open answer
-
How important is each of these to your everyday work?
- Time management
- Teamwork
- Tools and technology
- Communicating with clients
For each row: choose one:
- Very unimportant
- Unimportant
- Neutral
- Important
- Very important
-
How often does your work call for new tools or updates to existing ones?
Choose one:
- Never
- Rarely
- Sometimes
- Often
- Always
Views on Our Services
-
On a scale from 1 (very dissatisfied) to 10 (very satisfied), how satisfied are you with each of the following?
- Customer support
- Product reliability
- Pricing
- Ease of use
For each row: choose one:
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
-
How likely is it that you would suggest our services to a colleague or friend?
A number from 0 to 10
-
What could we change to serve you better?
Open answer
Wrap-up
-
Are there features or services you would like us to add?
Open answer
-
Would you be willing to take part in a short follow-up conversation?
Choose one:
- Yes
- No
-
How would you prefer us to get in touch?
Asked only when
q_interview_willing.outcome == 1Choose one:
- Phone
- Video call
-
Please leave your contact details and the days or times that suit you best.
Asked only when
q_interview_willing.outcome == 1Open answer