Referral form for clients who recommend someone
Referrals are the best kind of lead, but they usually arrive as a casual "you should talk to my friend." This compact form lets a client give their own name and email, the name and contact details of the person they recommend, and a sentence on why you can help them.
Who it is for
- Consultants, tradespeople and practitioners who grow by word of mouth
- Clubs and small businesses with a referral programme
- Anyone who wants referrals to arrive with the details needed to follow up
When to use it
Share it with clients at the end of a successful job or in your newsletter. A required confirmation says that the referred person knows their details are being shared, which keeps your follow-up on the right side of good manners and of data-protection rules.
What the form asks
You
- Your name · requiredShort text
- Your email · requiredEmail
The person you recommend
- Their name · requiredShort text
- Their emailEmail
- Their phonePhone
- Why do you think we can help them?Long text
- They know I am sharing their details with you. · requiredYes / No
Every question can be changed, removed or reordered before you publish.
The PDF your respondents receive
Each referral is saved as a PDF with who referred whom, the contact details and the reason. It is a simple record if you thank referrers or offer a reward.

Questions people ask
- Does it handle rewards?
- No. It collects the introduction. Rewards, discounts or thank-you gifts are managed by you.
- Is the confirmation about sharing details important?
- It is a good safeguard. It reminds the referrer to tell the other person, so your first message is not a surprise. Data-protection rules vary by country, so check yours.
- Can I change the form to match my programme?
- Yes. Add a question for the reward preference, or remove the phone field if you do not need it.
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.