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Lead form for car repair shops: four questions, then a callback

A garage takes calls from eight to six. The warning light comes on at nine at night, and the driver who lands on a contact form moves on to the next shop with a booking button.

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4 questions · free plan, no card

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Step 1 of 4: What's wrong with the car?
1 / 4

What's wrong with the car?

4 quick questions

Works with
  • Shopify
  • WooCommerce
  • WordPress
  • Webflow
  • Wix
  • Squarespace
  • Framer
  • Any HTML site

The flow

The questions, and what the result does

Independent garages, MOT centres, mobile mechanics, tyre shops.

This preset asks what is wrong, how soon they need it, what matters most and for a note. Urgent answers get a "we call you back first thing" result with your number; the rest get a quote request. Every lead arrives with the answers and a phone number.

Urgent: a callback promise and your phone number. Otherwise: a quote request in your inbox.

  • Every question and result is editable
  • Leads arrive with their answers
  • Works on Shopify, WordPress, Webflow, Wix and any site

Funelyze is a quiz funnel builder for small businesses and Shopify stores. This quiz is one of its ready-made flows: start from it free, or paste your website and Funelyze drafts one in your own words.

  1. 01

    What is going on with the car?

  2. 02

    How soon do you need it looked at?

  3. 03

    What matters most?

  4. 04

    Anything we should know?

  5. →

    Urgent: a callback promise and your phone number. Otherwise: a quote request in your inbox.

Mapping

Which answer leads where

This week
The urgent result: a callback promise and your phone number, one tap away.
Brakes or tyres
Treat it as urgent whatever the timing answer, and say in the result not to drive far until it is checked.
A service or MOT
Your booking link. These are planned jobs with a known price, so let them pick a slot.
Just looking for now
Your price list or service menu, with the lead still in your inbox for a follow-up.

What works

What a garage needs from the first message

  • Ask for the registration

    Make and model decide parts and price. A registration number in the note box lets you look the car up before you call back.

  • Ask what they hear or see

    "Grinding when I brake" or "orange engine light" tells a mechanic more than "it feels off". Put examples like these under the note question so people know what to write.

  • Open the reply with what matters to them

    If they picked price, lead with the quote. If they picked reviews, send the link to them. The answer tells you how to start the call.

  • Ask about getting there

    If you offer collection, a courtesy car or a wait-while-you-go service, ask whether they need it. It changes which slot you offer.

Questions, answered

The quiz works when you do not. The result promises a callback by a time you set, the lead arrives by email with the answers and the phone number, and you call in the morning.

Yes. Paste a Calendly, Cal.com or any booking link and the result shows it as the main button.

One script tag on any site, the Funelyze app or one Custom Liquid block on Shopify. A hosted link works in bios, emails and ads without any embed.

Similar businesses

Cleaning service

A callback promise for urgent jobs, a quote request for the rest.

Plumbers and electricians

Emergencies: a callback promise and your number. Planned work: a quote request.

Make it yours in ten minutes

Start from this quiz, or paste your website and let the AI write one in your voice. No account needed until you publish.

Start from this quiz