In-Store Visit Appointment Registration Form Template

イベント・申し込みアンケート

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.

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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.

含まれる代表的な設問

  1. 1カスタム問題

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

  2. 2カスタム問題

    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. 3カスタム問題

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

  4. 4単一選択

    What is the main purpose of your visit?

    Product trial/demoConsultationPurchase/orderAfter-sales or returnsOther
  5. 5カスタム問題

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

  6. 6単一選択

    How did you hear about our store?

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

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

  8. 8単一選択

    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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