Press enquiry form for journalists, with deadline and needs
Journalists work to deadlines, so a clear way to reach you matters. This compact form asks for the journalist's name and contact details, the publication or outlet, what they are working on, the deadline and what they need (interview, quote, photos or data).
Who it is for
- Small businesses, start-ups and associations that talk to the press
- Press officers and communications freelancers
- Authors, artists and experts who receive interview requests
When to use it
Link it from your press or contact page. The deadline question shows you which requests are urgent, and the list of needs lets you prepare what to send. Respond quickly, since journalists often move on to another source within hours.
What the form asks
Questions
- Full name · requiredShort text
- Email address · requiredEmail
- Phone numberPhone
- Publication or outlet · requiredShort text
- What are you working on? · requiredLong text
- Deadline · requiredDate
- You needCheckboxes
Every question can be changed, removed or reordered before you publish.
The PDF your respondents receive
Each enquiry is a PDF with the outlet, the subject and the deadline, which you can forward to your spokesperson or keep in your press file.

Questions people ask
- Does it verify that the person is a journalist?
- No. Check the outlet and the person before you share anything sensitive.
- Can I attach a press kit?
- Add a link in the introduction, or reply to the enquiry with the kit attached.
- Should the deadline be required?
- In this template it is required, because it is the key information. You can make it optional.
Start from this template
Create an account, adapt the questions and the document to your business, then share the link. Your respondents get their PDF the moment they finish.