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Customer Experience

Customer Satisfaction Survey

Measure how happy customers are with a recent purchase or support interaction.

12 questions · 3 pages · about 4 minutes to answer · fully editable after you start

Customer satisfaction is the one measure that predicts whether someone comes back, and the one most often gathered too late to act on. This template asks about a specific, recent interaction rather than a general impression, because people remember what happened last week far better than how they feel about a company in the abstract.

It opens by asking what the interaction was about, takes the overall rating on a standard five-point satisfaction scale, and then breaks it down: product or service quality, value for money, speed, staff helpfulness and how well you kept the customer informed, each with a Not applicable choice for the parts they never touched. A customer effort statement, whether a problem was resolved, likelihood to buy again and the standard Net Promoter question give several angles on the same experience, so a low score can be traced to a cause rather than left as an unexplained number.

Two open questions follow, which is where the useful detail almost always lives. An optional last page asks how long they have been a customer and whether you may contact them — worth offering, because a dissatisfied customer who says yes is a service recovery waiting to happen. Only the first two questions are required. Use it after a purchase, a support conversation or a delivery, while the memory is fresh, and name the product or team involved in the wording.

Template preview

This is a picture of every question as a respondent would see it, so nothing on it can be clicked or typed into. Use this template to get your own editable copy.

Opens in the Light theme, or in your own default theme if you have set one — change it anytime to any of the 4 built-in looks, or build your own on a paid plan.

Page 1 of 3

Your recent experience

Thank you for taking part. This survey is about your recent experience with us - a purchase, a delivery or a conversation with our team. It takes about 4 minutes, and only the first two questions are required.

Q1.What was your most recent experience with us about?*

  • Buying a product or service
  • A delivery or installation
  • Getting help from our team
  • Changing or cancelling an order
  • Other…

Q2.Overall, how satisfied are you with your recent experience?*

12345
Very dissatisfiedVery satisfied

Q3.How satisfied are you with each of the following?

Very dissatisfiedDissatisfiedNeither satisfied nor dissatisfiedSatisfiedVery satisfiedNot applicable
The quality of the product or service
Value for money
The speed of delivery or service
The helpfulness of our staff
How well we kept you informed

Q4.The company made it easy for me to get what I needed.

1234567
Strongly disagreeStrongly agree

Q5.If you had a question or problem, was it resolved?

  • Yes, completely
  • Yes, to some extent
  • No
  • I did not have a question or problem

Q6.How likely are you to buy from us again?

12345
Very unlikelyVery likely

Q7.How likely are you to recommend us to a friend or colleague?

012345678910
Not at all likelyExtremely likely

Page 2 of 3

In your own words

Q8.What is the main reason for the ratings you gave?

Respondent types their answer here…

Q9.What one thing could we do better?

Respondent types their answer here…

Page 3 of 3

About you (optional)

Q10.How long have you been a customer?

  • This was my first time
  • Less than a year
  • 1 to 3 years
  • More than 3 years

Q11.May we contact you about your answers?

  • Yes
  • No

Q12.What email address should we use?

Asked only if the answer to Q11 is “Yes”.

Respondent types an email address here (checked before they go on)…

Where this template is used

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