Lead capture form templates that qualify while they convert
Every template is a complete system: page, multi-step form, and quiz in one, with verification, qualification logic, and routing already wired in. Start from one below, or describe yours and let AI build it.
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▶ Live previewAuto Insurance Quote Form
Vehicle year, make, and model captured step by step, with usage, driving record, and ZIP qualifying the risk before any contact fields.
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▶ Live previewHome Insurance Quote Form
Address autocomplete first, then insurer status and property age, so every quote request arrives with the risk profile attached.
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▶ Live previewLife Insurance Quote Form
Coverage amount, age band, health, and tobacco status collected before the name, with state routing for licensed buyers.
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▶ Live previewFinal Expense Insurance Form
Age and smoker qualification with coverage-amount selection, built around the consent bar final expense buyers hold you to.
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▶ Live previewFinal Expense Agent Lead Funnel
The final expense flow framed for individual agents: the same qualification steps, positioned for a single book of business.
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▶ Live previewMedicare Lead Funnel
Current-coverage and age screening with budget and state routing, tuned to Medicare enrollment rules.
View template →Dental Insurance Quote Form
Coverage-type branching for individual, family, and senior dental plans.
⚡ Generate this template →Commercial Insurance Intake Form
Business-type routing that matches each company to the right commercial lines.
⚡ Generate this template →Pet Insurance Quote Form
Pet type and age branching with breed-aware quoting.
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▶ Live previewMortgage Refinance Form
Address enrichment, refi goal, balance and credit-band steps that trade a savings estimate for qualification data.
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▶ Live previewVA Home Loan Form
Branch of service, benefit usage, and timeline steps that confirm VA eligibility before the contact ask.
View template →Mortgage Pre-Qualification Form
Purchase-focused pre-qualification with loan-type branching and document-readiness signals.
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▶ Live previewFirst-Time Home Buyer Form
Pre-qualification steps sized for buyers who have never done this before, timeline and budget first.
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▶ Live previewHome Value Estimate Funnel
Address-first instant-value hook that turns curiosity about price into a seller lead.
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▶ Live previewCash Home Offer Form
Condition and timeline qualification that separates motivated sellers from browsers before anyone calls.
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▶ Live previewHome Remodeling Quote Form
Project scope and ZIP qualification so contractor quotes only go to jobs in service range.
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▶ Live previewRoofing Quote Form
ZIP-code qualification keeps out-of-area leads from ever reaching your crews or your buyers.
View template →HVAC Quote Form
ZIP qualification plus service-type branching across repair, replacement, and install.
⚡ Generate this template →Window Replacement Estimate Form
Window count and project scope qualify the job before the estimate call.
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▶ Live previewSolar Savings Estimate Funnel
Homeowner check and utility-bill qualification before the call center ever dials.
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▶ Live previewBusiness Funding Application Form
Revenue and funding-need qualification that routes each applicant to the lender type that fits.
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▶ Live previewDebt Relief Quiz Funnel
Debt-amount and situation steps that qualify hardship before the consultation ask.
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▶ Live previewTax Relief Lead Form
Case-review intake that screens debt size and agency involvement ahead of the callback.
View template →Personal Loan Application Form
Amount and credit-band branching that routes each applicant to a matching lender.
⚡ Generate this template →Credit Repair Intake Form
Goal and score-range screening for credit repair consultations.
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▶ Live previewCriminal Defense Intake Form
Charge-type and urgency screening so intake teams call the cases they can take.
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▶ Live previewPersonal Injury Case Evaluation Form
Incident type and treatment status qualify the case before it reaches a paralegal.
View template →Mass Tort Intake Form
Drug and device eligibility screening built around mass tort case criteria.
⚡ Generate this template →SSDI Disability Qualification Form
Work-history and condition screening mapped to SSDI eligibility rules.
⚡ Generate this template →Degree Program Matcher Quiz
Program interest and start-date routing for education lead generation.
⚡ Generate this template →Vehicle Trade-In Form
Dynamic make and model with condition steps for trade-in valuation.
⚡ Generate this template →Facebook and Instagram Ads Lead Form
A social-ads landing flow that verifies and scores what Meta lead forms let through.
⚡ Generate this template →LinkedIn Lead Gen Form
B2B qualification flow for traffic arriving from LinkedIn campaigns.
⚡ Generate this template →Multi-Step Form
The head pattern itself: engagement questions first, contact fields last, one question per step.
⚡ Generate this template →Lead Generation Form
A general-purpose lead form with qualification and verification wired in from the first step.
⚡ Generate this template →Lead Magnet Funnel
Gated-asset funnel with enrichment at capture, so a bare email still becomes a scored, routable lead.
⚡ Generate this template →Lead Qualification Form
Scoring-first intake that ranks every submission against your threshold.
⚡ Generate this template →How to choose a lead capture template
Match the template to the problem you are solving. Getting junk leads? Pick one that asks qualifying questions first, like ZIP code or homeowner status. Buyers rejecting your leads? Pick one with verification and consent built into the flow. Every template delivers into your lead distribution tool or CRM.
The promise underneath the whole library: Same traffic. More qualified leads. Funnels built on these patterns average a 34% conversion lift, and Samuel Miljours took the same traffic from a 5.9% to an 11.1% conversion rate. The templates are those patterns, packaged.
Frequently asked questions
What makes these templates different?
They are built for lead quality, not just conversion. A qualified lead is one with a verified email, a verified phone, enriched data, and a Contact Score above your threshold, checked before the visitor leaves the page. Qualifying questions come first, consent is handled for regulated industries, and each lead routes automatically into your lead distribution tool or CRM. A template builder gives you a layout. These give you a working pipeline.
Are these templates forms, pages, or quizzes?
All three. Each template is a unified system: publish it as a full landing page, embed just the form on your own site, or run the quiz steps standalone. Same logic, same verification, same routing.
What if my exact funnel isn't here?
Describe it and the AI builder creates it, fields, steps, logic, and design included, in about 60 seconds. Every template on this page can also be used as the starting prompt.
Do templates include compliance features?
Regulated-vertical templates ship with TCPA-aware consent placement and work with TrustedForm and Jornaya out of the box.
Can I customize a template after I pick it?
Every step, field, and routing rule is editable in the builder. You can also hand any template to the AI generator with a described change and it rebuilds the template around it.