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Questionnaire template

Customer Experience Feedback (Feedback forms)

Measures customers' use of and satisfaction with a service, the problems they met and whether these were resolved.

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Other · Feedback forms. All Other templates

Questions in this template

Using Our Service

  1. Thank you for helping us improve. Your answers are anonymous and are used only to make our service better.

  2. How often do you use our service?

    Choose one:

    • Daily
    • Weekly
    • Monthly
    • Less than once a month

  3. How would you rate our service on each of these?

    • Availability
    • Timeliness
    • Professionalism
    • Responsiveness

    For each row: choose one:

    • Very poor
    • Poor
    • Average
    • Good
    • Excellent

  4. Describe a time when dealing with us went well for you. (optional)

    Open answer

Problems You Faced

  1. Have you run into any of these problems with our service? Select all that apply.

    Choose any that apply:

    • Hard to use
    • Unexpected fees
    • Poor customer support
    • Slow responses
    • Something else
    • No problems

  2. Please tell us more about the problems you had.

    Condition: Shown when at least one problem was reported

    Open answer

  3. Were these problems sorted out?

    Condition: Shown when at least one problem was reported

    Choose one:

    • Yes
    • Partly
    • No

Improvements

  1. What would you change in each of these areas? Leave blank any you have no suggestion for.

    • User interface
    • Customer support
    • Pricing
    • Range of services

    For each row: open answer

  2. Would you suggest our service to others?

    Choose one:

    • Yes
    • Not sure
    • No

  3. What is the main reason for your answer? (optional)

    Condition: Shown once the recommendation question is answered

    Open answer