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Insurance quote request form template

Home, car or business cover, with only the questions for the one someone picks.

Use this templateFree · no credit card
  • 13 questions
  • 5 pages
  • 5 min to fill in
  • Legal and finance
formkit.app/you/insurance-quote-request
Insurance quote request

Get a quote

About three minutes. You'll only see the questions for the cover you choose.

13 questions · 5 pages
Try a theme

This is the real template. Fill it in, then make it yours.

Someone picks home, car or business, and the form jumps to that page only, then on to the start date. Nobody asking about car cover sees questions about their contents. On Pro, AI insights sort requests by topic and urgency.

Who it’s for

Insurance brokers and agents quoting more than one kind of cover from one link. Add your own questions to each page for the insurers you use.

Page by page

Every question in this template

The pages as a respondent meets them. Pick any question to open it in the live preview above.

  1. Page 1Questions4 questions
  2. Page 2Home2 questions
  3. Page 3Car3 questions
  4. Page 4Business3 questions
  5. Page 5Timing1 question
  6. ThenThank you

    We'll compare cover for you and send a quote within two working days.

    Conditional logic is already set up
What comes back

Every answer, in one place

Each response lands in your inbox as a card like this one, with an email to you if you want it. People who stop part-way are kept too, with the answers they gave.

  • Partial answers and drop-off by question, on every plan
  • CSV, JSON and PDF on every plan, Excel on Pro
  • Sheets, Slack, Notion, Airtable, HubSpot and webhooks on Pro
Maya OkaforInsurance quote request · just nowNew
Your name
Maya Okafor
Your email
maya@northstar.co
Your phone number
+44 20 7946 0321
What would you like a quote for?
Home
The property's address
14 Hatton Garden, London
What would you like to cover?
The building

and 7 more answers

From template to live form

Three steps, a couple of minutes

  1. Use this template1Make it your own copyIt becomes a draft in your account. Nothing you change touches the original.
  2. Reword, reorder, re-theme2Change anythingQuestions, pages, logic, theme and logo. It is an ordinary form from here on.
  3. formkit.app/you/insurance-quote-request3Publish and shareYour own link, a QR code or an embed. Every answer lands in one inbox.
Make more of it

What this form can also do

Questions about this template

Can I keep the form private?

Yes. Any form can have a password, so only the people you send it to can open it. Answers travel over HTTPS, and you can delete responses whenever you need to.

Can I add other kinds of cover?

Yes. Add an option, a page for it and one jump rule, on any plan.

Does the AI reply quote a price?

No. On Pro, it confirms the request and when to expect a quote, and every reply waits for a person to approve it.

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