Grocery order form template

Time to restock your cupboards?Before we start, what's your name?Thanks, {{field:01EWECJ855MX8KE4XC0FSCSEX3}}. Will you be picking up your order, or shall we deliver it?

I'll collect it ($0), Please deliver to me, I'm within a 5 mile radius ($4), Please deliver to me, I'm within a 20 mile radius ($10)

What's your delivery address?Let's fill your basket. What should we add from the fruit and vegetable section?

Lettuce (2 heads/$2), Heirloom Tomatoes (500g/$4), Strawberries (1 box/$5), Blood Oranges (1kg/$5), Asparagus (500g/$6), Sweet Potato (1kg/$5)

Anything from the meat and dairy aisles?

Organic Milk (2L/$4), Cheddar Cheese (400g/$4), Sirloin Steak (400g/$12), Free Range Eggs (6/$4)

Finally, some treats?

Dark Chocolate ($3), Gummy Bears ($3), Potato Chips ($3)

We're ready to finalize your order. What's your email address so we can confirm?You're all set. Here's your total: {{var:price}}Please make payment below to complete your order.Thanks! We'll start bagging it up right away. We'll send the confirmation and receipt to {{field:9edb3b61-1609-4cec-bcc5-509047aa679d}}.

Collect up to 3.5x more data with Typeform

A simple, no-code solution for online grocery shopping

Typeform makes it easier for your customers to check-out, and for you to organize your orders. You don’t need to worry about setting up separate payment processes either—our integrated Stripe payment option lets customers order and pay, all in one form.

With Typeform, you can customize everything

Change text, colors, and even logos to match the look and feel of your brand. Then embed forms smoothly onto web and email.

Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.

Stay efficient by connecting forms to your workflow. Typeform integrates with 300+ tools including Slack, Zapier, and HubSpot.

Grocery order form FAQs:

Start with our template—this’ll give you a good idea of what’s possible within Typeform. Then customize it to suit you and add and edit questions as you need to. Features like photo selector and drop-down menus make the shopping experience a breeze for your customers.

When you’re ready, integrate Typeform with your Stripe account for fast and secure payments. Embed the form on your website, and watch the orders roll in.