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Prayer Request Form

Collect prayer requests for a church or ministry, with each person marking whether the request may be shared with the prayer team or should stay with the pastor, and whether they'd like someone to reach out.

No sign-up to try · Unlimited responses on the free plan

Printable sheet (PDF)
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Prayer Request Form

We'd be honored to pray for you. Share your request below.

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Sample questions

What people answer. Every question is editable.

6 questions · ~2 min
Q01
Message

We'd be honored to pray for you. Share your request below.

Q02
Short Text

What's your name? You can leave this blank.

Q03
Long TextRequired

How can we pray for you?

Q04
Multiple ChoiceRequired

Who may we share this request with?

  • The prayer team
  • The pastor only
Q05
Multiple Choice

Would you like someone to reach out to you?

  • Yes, please
  • No, thank you
Q06
Email

If yes, what's the best email to reach you?

What’s included

  • No account for guests

    Send one link by text, email or group chat. People answer in their phone’s browser, with no app to download and no account to create.

  • Every answer in one table

    Every response lands in one table you can export to Excel or CSV.

  • Free, unlimited responses

    The Free plan takes as many responses as you get, with no credit card.

Frequently asked questions

What questions are in the “Prayer Request Form” template?

The template includes 6 ready-to-use questions, starting with: “We'd be honored to pray for you. Share your request below.” · “What's your name? You can leave this blank.” · “How can we pray for you?”. The full set is previewed above, and every question is editable.

Do guests need an account?

No. Guests open the link in any phone or computer browser and answer, with no app and no account.

Can I change the questions?

Yes. Every question and answer option is editable.

Is it free?

Yes. The Free plan takes unlimited responses and needs no credit card.

Ready to send it?

Open the template, change what you need, and share one link with everyone.