diff --git a/assets/js/src/form_editor/blocks/blocks.jsx b/assets/js/src/form_editor/blocks/blocks.jsx
index a26e092055..b48d241519 100644
--- a/assets/js/src/form_editor/blocks/blocks.jsx
+++ b/assets/js/src/form_editor/blocks/blocks.jsx
@@ -5,6 +5,7 @@ import * as email from './email/email.jsx';
 import * as submit from './submit/submit.jsx';
 import * as firstName from './first_name/first_name.jsx';
 import * as lastName from './last_name/last_name.jsx';
+import * as segmentSelect from './segment_select/segment_select.jsx';
 
 export default () => {
   setCategories([
@@ -16,4 +17,5 @@ export default () => {
   registerBlockType(submit.name, submit.settings);
   registerBlockType(firstName.name, firstName.settings);
   registerBlockType(lastName.name, lastName.settings);
+  registerBlockType(segmentSelect.name, segmentSelect.settings);
 };
diff --git a/assets/js/src/form_editor/blocks/segment_select/icon.jsx b/assets/js/src/form_editor/blocks/segment_select/icon.jsx
new file mode 100644
index 0000000000..a1d989f275
--- /dev/null
+++ b/assets/js/src/form_editor/blocks/segment_select/icon.jsx
@@ -0,0 +1,10 @@
+import React from 'react';
+import { G, Path, SVG } from '@wordpress/components';
+
+export default (
+  <SVG viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg">
+    <G>
+      <Path d="M9 19h12v-2H9v2zm0-6h12v-2H9v2zm0-8v2h12V5H9zm-4-.5c-.828 0-1.5.672-1.5 1.5S4.172 7.5 5 7.5 6.5 6.828 6.5 6 5.828 4.5 5 4.5zm0 6c-.828 0-1.5.672-1.5 1.5s.672 1.5 1.5 1.5 1.5-.672 1.5-1.5-.672-1.5-1.5-1.5zm0 6c-.828 0-1.5.672-1.5 1.5s.672 1.5 1.5 1.5 1.5-.672 1.5-1.5-.672-1.5-1.5-1.5z" />
+    </G>
+  </SVG>
+);
diff --git a/assets/js/src/form_editor/blocks/segment_select/segment_select.jsx b/assets/js/src/form_editor/blocks/segment_select/segment_select.jsx
new file mode 100644
index 0000000000..3c0844a169
--- /dev/null
+++ b/assets/js/src/form_editor/blocks/segment_select/segment_select.jsx
@@ -0,0 +1,26 @@
+import MailPoet from 'mailpoet';
+import icon from './icon.jsx';
+
+export const name = 'mailpoet-form/segment-select';
+
+export const settings = {
+  title: MailPoet.I18n.t('blockSegmentSelect'),
+  description: MailPoet.I18n.t('blockLastNameDescription'),
+  icon,
+  category: 'fields',
+  attributes: {
+    label: {
+      type: 'string',
+      default: MailPoet.I18n.t('blockSegmentSelectLabel'),
+    },
+  },
+  supports: {
+    html: false,
+    customClassName: false,
+    multiple: false,
+  },
+  edit: () => {},
+  save() {
+    return null;
+  },
+};
diff --git a/views/form/editor.html b/views/form/editor.html
index f9177915b4..97199bbdf0 100644
--- a/views/form/editor.html
+++ b/views/form/editor.html
@@ -46,6 +46,9 @@
   'blockFirstNameDescription': __('Input field used to catch subscribers’ first names.'),
   'blockLastName': __('Last name'),
   'blockLastNameDescription': __('Input field used to catch subscribers’ last names.'),
+  'blockSegmentSelect': __('List selection'),
+  'blockLastNameDescription': __('Allow your subscribers to select which list(s) they want to subscribe to.'),
+  'blockSegmentSelectLabel': __('Select list(s):'),
   'blockEmail': __('Email'),
   'blockEmailDescription': __('Input field used to catch subscribers’ email addresses.'),
   'blockSubmit': __('Submit button'),