When to use this template
Start with the questions below, then adapt them to your own process. Choose a clear interaction window, such as the most recent purchase, so respondents score the same kind of experience.
Ask focused questions that turn a customer experience into an actionable improvement. Use this version when you need to measure satisfaction with an interaction and identify the reason behind the score.
Questions included
- Your nameShort answer · Optional
- Email addressEmail · Optional
Optional. Add an email only if you would like a reply.
- How satisfied are you?Dropdown · Required
- What influenced your answer?Long answer · Required
- Was your goal achieved?Dropdown · Optional
- What should we change?Long answer · Optional
- Follow-up preferenceDropdown · Optional
Make it your own
- Replace the introduction with your own context for customer satisfaction survey.
- Choose a clear interaction window, such as the most recent purchase, so respondents score the same kind of experience.
- Check required questions, remove information you do not need, then test the form on a phone.
- Publish a copy and share its link or embed it on your page.
Before you publish
Keep optional contact details separate from feedback and explain who will review responses.
Common questions
What does this customer satisfaction survey collect?
It includes how satisfied are you, what influenced your answer, was your goal achieved, what should we change. Every question can be edited before you publish.
What should I customize before sharing it?
Choose a clear interaction window, such as the most recent purchase, so respondents score the same kind of experience.
What happens after someone submits it?
Keep optional contact details separate from feedback and explain who will review responses. Published copies store responses in the form inbox. Optional owner email notifications require a connected email service.