Tire replacement request form template
This five-step tire replacement request form asks the vehicle type, the age of the tires, how often the vehicle is driven and the main concern, followed by the contact details. Clone it into your Growform account and add tire size.
What the form asks, step by step
The questions help a tire shop decide whether a customer needs replacement now or an inspection first. Each one takes a single tap.
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Step 1: “What type of vehicle do you own?”
Cars, pickups, SUVs and vans use different tire ranges and prices.
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Step 2: “How old are your current tires?”
Tires over three years old are the likeliest candidates for replacement.
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Step 3: “How often do you drive your vehicle?”
Daily drivers wear tires faster and may value premium options.
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Step 4: “What concerns you about your current tires?”
Tread wear, pressure, damage or age sets the purpose of the visit.
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Step 5: “How shall we contact you?”
Name, email and phone come last.
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After submitting
Customers read a short confirmation that you can change to offer an inspection time slot.
Who it’s for
Tire shops, auto service centers and mobile tire fitters use this template to turn website visits into booked appointments. The answers show whether the driver needs new tires, a pressure check or a damage repair, so the reply can offer the right service. It also works as a tire quote form once you add a tire size step.
Why this structure converts
- Drivers can answer every question without looking at the tire sidewall.
- The concern step tells you whether the visit is a sale or a quick check.
- Contact details come last, after the driver has described the problem.
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Add tire size
An optional text field for the size printed on the sidewall lets you check stock and quote an exact price.
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Offer a booking time
Add date and time-of-day buttons so the customer can request a fitting slot in the same form.
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Mention seasonal tires
In cold regions, add a question about winter or all-season tires to plan stock ahead of the season.
Frequently asked questions
What does a tire shop need to quote replacement tires?
A shop needs the vehicle type and the tire size to quote exactly. This form gathers the vehicle and condition, and you can add the size as an extra step.
Can the form book a tire appointment?
It sends a request that you confirm. Redirect customers to your booking calendar after submit if you want them to pick a time.
Where are requests sent?
Requests are emailed to your shop, and they can also go to HubSpot, Thryv or a Google Sheet.
What happens next?
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Step 1: Clone this form template
Clone this template into your Growform account (create one first if you don’t already have one). -
Step 2: Edit your form
Get creative and adjust your form's theme options, questions or layout in the Growform form builder. -
Step 3: Share or embed your form
Share a link to your form, or embed it in your existing website. Receive new submissions by email or send them to 7,000+ apps via Zapier.
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