Customer Feedback Survey
Find out how customers rate your product or service, and what would make them recommend you to someone else.
Powered by deoochform
Opens in the builder. Nothing is saved until you edit it.
- Fields
- 6 questions
- Theme
- Sunset, switchable in the preview
- Updated
- 18 June 2026
Categories
- Survey
- Survey Templates
- Feedback Forms
- Evaluation Forms
Ideal for
- Product managers
- Customer success teams
- Retailers
Best used in
- Ecommerce
- SaaS
- Hospitality
About this template
Ratings on their own tell you the score and nothing else. This survey pairs the numbers with room to explain them: how satisfied someone is, how likely they are to recommend you, what worked, and what did not.
The written answers are where the useful material sits. Ten people typing the same sentence about your checkout is a clearer instruction than a score moving by half a point, and it arrives with the wording you can quote back to the team that owns it.
Keep it short if you send it after every purchase. The longer version belongs in an annual review, not a receipt email.
Templates are a starting point, not legal or professional advice. Where a form carries consent, medical, or contractual wording, have somebody qualified review it against the rules that apply to you before you publish.
Fields in this template
- How satisfied are you overall?*Single choice
- How likely are you to recommend us?*Dropdown
- What did we do well?Multiple choice
- What could we do better?Long text
- May we follow up about your answers?Single choice
- Email addressEmail
Every field can be renamed, reordered, made optional, or removed once the template is open in the builder.
Related templates
Browse all templates- Net Promoter Score Survey
Net Promoter Score Survey
How likely are you to recommend us to a friend or colleague?What is the main reason for your score?What would it take to score us higher?How long have you been a customer?May we contact you about your answer?YesNoEmail addressAccountThe standard two question NPS survey, plus one optional follow up, so you get a trackable number and the reason behind it.
- Product Feedback Form
Product Feedback Form
Which part of the product is this about?What kind of feedback is this?Something is confusingSomething is missingSomething is slowTell us moreHow often does this affect you?How much does it get in your way?Screenshot, if it helpsChoose a fileEmail address, if you want a replyPlanCollect feedback tied to a specific part of the product, so it lands with the team that owns it instead of in a general inbox.
- Website Feedback Form
Website Feedback Form
Did you find what you were looking for?YesPartlyNoWhat brought you here today?What were you hoping to find?How easy was it to find your way around?What would you change about this page?Email address, if you would like a replyPageReferrerDeviceAsk visitors whether they found what they came for, and capture the page and device automatically so you can reproduce the problem.