A technician who gets "AC not cooling, please come" still has to ask what kind of AC, how many, whether it is service or repair, and where the home is. This form asks which service is needed first, then only the questions for that service. Urgent jobs get a quick-response choice, and scheduled jobs get a date and time slot.
Why this template
19 pre-built fields, edit, remove, or add more in the form builder.
Your Name
Phone Number
Service Needed
AC service or repair · Plumbing · Electrician · RO or water purifier · +1 more
AC Type
Split AC · Window AC · Cassette or ducted AC
Number of ACs
What Do You Need?
Regular service · Gas refilling · Repair · Installation or uninstallation
Plumbing Problem
Leakage · Blocked drain or toilet · Tap or fitting change · Flush tank problem · +1 more
Electrical Problem
Fan or light not working · Switchboard or short circuit · MCB tripping often · Inverter or stabiliser · +1 more
RO Brand and Model
RO Problem
Service due · No water or low flow · Bad taste or smell · New installation
Home Size
1 BHK · 2 BHK · 3 BHK · 4 BHK or more
Is the Home Furnished?
Furnished · Unfurnished
Photo of the Problem (Optional)
Address
Pincode
Is this urgent?
How Soon Do You Need Someone?
Within 2 hours · Today · Tomorrow
Preferred Date
Preferred Time Slot
9 AM to 12 PM · 12 PM to 3 PM · 3 PM to 6 PM · 6 PM to 8 PM
Free · No credit card · Customize every field
Click "Use this template free", the form builder opens with all fields pre-loaded.
Edit labels, add your branding, reorder fields, or add conditional logic. Hit Publish.
Share via WhatsApp link, embed on your website, or print a QR code. Responses land in your dashboard.
In practice
A repair business shares this link on its Google profile and WhatsApp. One customer picks AC repair, answers type and number of units and attaches a photo. Another picks plumbing, marks it urgent and chooses "within 2 hours". The owner sees both with the details needed to dispatch.
Not a fit if
Yes. Add the service to the first dropdown and use conditional logic to show its follow-up questions.
Yes — add a Payment field connected to your own Razorpay account to collect payment at the time of booking, settling directly to you.
Add a note listing your pincodes in the form description. The form collects the pincode so you can check before confirming.