Survey form

Multiple choice, a rating scale, and open comments.Plain HTML — it inherits your site's styles and needs no backend or JavaScript.

Preview

The code

<form action="https://crunchforms.com/form/{formID}" method="post">
  <label for="email">Email (optional)</label>
  <input name="email" type="email" id="email" />

  <fieldset>
    <legend>How did you hear about us?</legend>
    <label><input type="radio" name="source" value="search" required /> Search engine</label>
    <label><input type="radio" name="source" value="social" /> Social media</label>
    <label><input type="radio" name="source" value="friend" /> Word of mouth</label>
    <label><input type="radio" name="source" value="other" /> Somewhere else</label>
  </fieldset>

  <fieldset>
    <legend>How likely are you to recommend us? (1–10)</legend>
    <label for="score">Score</label>
    <input name="score" type="range" id="score" min="1" max="10" value="7" />
  </fieldset>

  <label for="comments">Anything else you'd like to tell us?</label>
  <textarea name="comments" id="comments" rows="4"></textarea>

  <button type="submit">Submit survey</button>
</form>

How to use it

Create a free Crunchforms account and add a form in the dashboard (takes about a minute).
Replace {formID} in the actionURL with your form's ID — or use the dashboard's snippet generator, which fills it in for you.
Paste the form into any page. Submissions appear in your dashboard and, if you like, in your inbox. Add a honeypot or captcha in the form settings for extra spam protection.

1,000 free submissions a month, spam filtering included, no credit card required.

Start for free