Form Templates

Open-ended Contact Form

The open-ended contact form is designed for ambient, optional feedback from users; as it relates to products and/or services that are being developed, or launched.

The form prompts for: Name, Email, and an open-ended comment.

Here is an example Open-ended Contact Form.

Recruiter Form

The Recruiter form is designed to allow users to opt-into User Research for public products and/or services.

The form prompts for: Name, Email, and Phone.

Here is an example Recruiter Form.

A-11 Customer Experience Feedback form

The A-11 form is designed to fulfill the requirements of A-11 guidance, as related to Customer Experience feedback.

The form prompts for 7 standard questions, in likert-scale format, and can be customized within constraints, including 3 additional questions.

Here is an example A-11 Form Template.

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In Development

These forms are currently in development. If you are interested in using them, please let us know. We'd like to share them with you and get your feedback on them.

A-11 Version 2 [in development]

An updated, streamlined version of the first A-11 form, inspired by modern transactional feedback forms, such as Uber, Lyft, and Google.

Was this page useful? (yes/no) [in development]

This form is being prototyped with digital.gov to capture feedback regarding the usefulness of individual web pages.