Agro Productivity Diagnosis Form Template
About
A reusable template for an agro productivity and time-management diagnostic form, capturing leads and responses to generate tailored productivity reports.
Agro Productivity Diagnosis Form Template is a focused landing page and form flow for running time and priority management diagnostics in agribusiness.
What's Included
- Hero with clear diagnostic context
- Step 1 lead-capture form (name, email, WhatsApp)
- Step 2 multi-question Likert-scale assessment (20 questions)
- Dynamic progress bar and completion counter
- Success modal confirming report delivery
Key Features
- Two-step funnel: capture leads, then collect detailed responses.
- Responsive Tailwind CSS layout with clean, minimal styling.
- Radio-scale question cards optimized for usability.
- Progress feedback via sticky header bar and counters.
- Completion modal ready to hook into email/report workflows.
Primary Use Case
Use this template to launch an online diagnostic for agro productivity or adapt it for any consulting assessment that needs structured questions plus lead capture.
Created
January 17, 2026
Category
Web
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Joined 2 months ago
1 designs
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