In-Store Visit Appointment Registration Form Template

Events & RegistrationQuestionnaire

In-Store Visit Appointment Registration Form Template

An appointment registration form for in-person visits to stores, agencies, or similar venues, covering key details such as date/time, party size, and contact information, with reminders for cancellations or rescheduling.

Generation Prompt

Paste this brief into WeJot AI to generate an editable first draft of this survey.

Please design an "In-Store Visit Appointment Registration Form" for customers planning to visit a store or agency. Include 8 questions total, covering the following fields: preferred visit date and time slot (date + time), number of visitors (numeric), service/item (single-choice: product trial, consultation, after-sales, etc.), contact information (fill-in: mobile phone number), source channel (single-choice: social media ads/friend referral/short video platform/passed by store/other), and special requirements (open-ended). Use a mix of single-choice, fill-in, numeric, date, and open-ended question types—do not use NPS or scale questions. Sample questions should be specific and natural (e.g., 'What date do you plan to visit? Please select a date (custom date question)') and include a note about cancellation/rescheduling reminders. Ensure answer options or instructions are clear and ready for direct questionnaire generation.

Sample questions

  1. 1Custom

    What date do you plan to visit? (custom date question: date picker provided)

  2. 2Custom

    What time do you expect to arrive? Please select a time slot (custom time question: dropdown with 9:00-11:00 / 13:00-15:00 / 15:00-17:00 / 17:00-19:00)

  3. 3Custom

    How many people will be visiting? Please enter the total number (custom numeric question: integer between 1 and 10)

  4. 4Single choice

    What is the main purpose of your visit?

    Product trial/demoConsultationPurchase/orderAfter-sales or returnsOther
  5. 5Custom

    May I have your mobile number? (for visit confirmation and cancellation/rescheduling notices) (custom fill-in: 11-digit mobile number)

  6. 6Single choice

    How did you hear about our store?

    Social media/WeChat adsFriend/family referralShort video platform (Douyin/Xiaohongshu, etc.)Passed by the storeOther
  7. 7Open text

    Do you have any special requests to note in advance? (e.g., wheelchair access, bringing children, reserved parking, preferred representative, etc.)

  8. 8Single choice

    If your plans change, would you like to receive a cancellation or rescheduling reminder?

    Yes, via SMSYes, via phone callNo, not needed

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