Customer Survey Panel Recruitment Form

Customer Survey Panel Recruitment Form — Form Fields

This marketing template includes 10 fields. Recruit customers to join a research panel for regular surveys, interviews, and product feedback sessions. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Job Title or Role (text, required)
• Industry (text, required)
• Company Size (employees) (number, optional)
• How Long Have You Been a Customer? (dropdown selection, required) — options: Less than 6 months, 6–12 months, 1–2 years, More than 2 years
• Research Activities Willing to Participate In (checkboxes, required) — options: Online surveys, Phone interviews, Video calls, In-person sessions, Beta product testing, Diary/journal studies
• Hours Available Per Month for Research (number, required)
• Preferred Time for Sessions (dropdown selection, required) — options: Morning, Afternoon, Evening, Flexible
• Do you consent to feedback being used for product improvement? (multiple choice, required) — options: Yes, No