Testimonial request form template (free)
A free testimonial request form: a star rating, a quote in their words, name, job title, a photo and how they're happy for you to publish it.
9 questions on one page
Media request form template (free)
Journalists work to deadlines, and a request lost in a shared inbox can cost you the story. This media request form template gives reporters, analysts and podcast hosts one place to reach you. It asks for their name, email and outlet, a link to their work and what they need: an interview or quote, a product briefing, a press kit, a fact check or a podcast or panel guest. Pick the podcast option and a short question asks for the show name and audience size. Then they describe the story and pick their deadline from a date picker, with an optional phone number for anything urgent. Use this media request form template on a press page and every request arrives in the same shape, deadline included.
Free plan, free forever. Sign up and the template opens in your workspace.
What's in this form
9 questions on one page. Every question, in order:
Page 1: Your request
| No. | Question | Answer type | Required? |
|---|---|---|---|
| 1 | Your nameShort answer, Required | Short answer | Required |
| 2 | EmailEmail, Required | Required | |
| 3 | Outlet or publicationShort answer, Required | Short answer | Required |
| 4 | Link to your workLink, Optional | Link | Optional |
| 5 | What do you need?Dropdown, RequiredChoices: Interview or quote, Product briefing, Press kit and assets, Fact check, Podcast or panel guest, Something else | Dropdown | Required |
| 6 | Show name and audience sizeShort answer, Optional | Short answer | Optional |
| 7 | What's the story?Long answer, Required | Long answer | Required |
| 8 | Your deadlineDate, Required | Date | Required |
| 9 | PhonePhone number, OptionalFor anything time-critical. | Phone number | Optional |
How the logic works
- Shows “Show name and audience size” when “What do you need?” is “Podcast or panel guest”
What people see after sending
Thanks for getting in touch
Our communications team will reply before your deadline wherever we can.
Built in
- Conditional logic
Who it's for
- Founders who handle press themselves and need requests out of their personal inbox
- Communications and PR people at small companies, charities and schools
- Authors, speakers and experts who get podcast and interview invitations
- Event organizers fielding press pass and coverage requests
- Researchers and university staff whose work draws questions from reporters
When to use it
- Building a press or newsroom page that needs more than an email address
- Around a launch or announcement, when requests come in faster than usual
- When podcast invitations pile up and you want to compare shows before saying yes
- Replacing a generic contact form that mixes press with sales and support
Make it yours
- Change the thank-you message to fit your team. It ships as "Our communications team will reply before your deadline wherever we can." If the team is you, say "I'll reply before your deadline wherever I can" instead. Promise only what you can keep.
- Send requests to a Slack or Discord channel, free on every plan, so whoever is around can see a deadline the day it lands. You can also turn on an email to yourself for each new response. If you usually reply by phone, edit the note under the phone question to ask for the best time to call.
- Embed the form on your press page inline, or open it as a popup from a Press button in your site footer. Both work on every plan, and reporters never need an account to fill it in.
- Edit the request types to match what you actually offer. If you don't do product briefings, delete that option. If you get many award or speaking invitations, add them, and add a show rule if one type needs its own follow-up question.
- Sort by deadline in the place you work. Send responses to Google Sheets and sort the deadline column, or filter the responses table by request type to see every podcast invitation together. A quick look each morning at what's due this week keeps you ahead of the tightest deadlines.
Print it or edit it offline
The same questions, ready to print or edit.
Where the answers go
Every response lands in your HornetForms inbox. From there, send it wherever your team already works.
- Turn on an email to yourself for each new response, on every plan
- A confirmation email to the person who filled it in, when the form asks for their email
- A new row in Google Sheets, a message in Slack or Discord, or a page in Notion, free on every plan
- Connect with Zapier, or send signed webhooks to n8n, Make or your own app
- CSV export on every plan, and Excel export on Pro and Business
Questions people ask
What is a media request form?
It's a form on your website that journalists, bloggers and podcast hosts use to ask for an interview, a quote, assets or facts. Unlike an email address, it asks for the outlet, the angle and the deadline up front, so you can decide quickly whether and how to respond. It also leaves you a tidy record of every request you received.
Is it media inquiry or media enquiry?
Both are correct. Inquiry is the usual American spelling and enquiry is common in British English. Pick the one your readers use for the form title and button. The questions work the same either way, and you can rename the form in the editor.
What is a press request?
A press request is any ask from a reporter: an interview, a comment on a story, photos or logos, or a check of facts before publishing. This template covers all of these in one dropdown, plus podcast and panel invitations, which often come from the same people.
How is this different from a regular contact form?
A contact form takes any message. This one asks the questions press needs answered first: outlet, request type, story and deadline. Keeping press apart from sales and support also means a reporter's request doesn't sit behind a pile of general questions.
Is this media request form template free?
Yes. It works on the Free plan, which is free forever, with unlimited responses within fair use. Sign up, open the template and edit it. If you want a paper copy for a press desk at an event, download it from this page as a PDF for US Letter or A4, or as a Word file.
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Start from a template, finish with your form
Sign up for free, pick a template and change anything you like: questions, logic and design. The Free plan stays free forever, with unlimited responses.