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Questionnaire template

Customer Testimonial Form

Collects customer satisfaction, impact stories, comparisons with alternatives and support ratings for use as testimonials.

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Marketing · Lead generation. All Marketing templates

Questions in this template

Your Experience

  1. Thank you for sharing your experience with us. Your story helps us improve and helps other customers decide whether we are right for them.

  2. How satisfied are you with our product or service?

    Choose one:

    • Very dissatisfied
    • Dissatisfied
    • Neither satisfied nor dissatisfied
    • Satisfied
    • Very satisfied

  3. Which parts of our product or service do you use most? Select all that apply.

    Choose any that apply:

    • Core features
    • Advanced features
    • Integrations with other tools
    • Mobile access

  4. What difference has our product or service made for you? Which problems has it helped you solve?

    Open answer

  5. Have you used any similar products or services from other providers?

    Choose one:

    • Yes
    • No

  6. Compared with the alternatives you have used, how do we do on each of these?

    Condition: Only for customers who have used alternatives

    • Performance
    • Price
    • Customer support

    For each row: choose one:

    • Much worse
    • Somewhat worse
    • About the same
    • Somewhat better
    • Much better

  7. How likely are you to recommend us to others?

    Choose one:

    • Very unlikely
    • Unlikely
    • Neither likely nor unlikely
    • Likely
    • Very likely

More Detail

  1. How much benefit have you gained from each of these?

    • Ease of use
    • Functionality

    For each row: choose one:

    • Very low
    • Low
    • Moderate
    • High
    • Very high

  2. Where could we do better?

    Open answer

  3. How would you rate the help you got from our support team?

    Choose one:

    • Very poor
    • Poor
    • Fair
    • Good
    • Excellent
    • I have not contacted support

  4. Is there anything you would like to add about our customer support?

    Condition: Only for customers who have contacted support

    Open answer

  5. Anything else you would like to share? This may be used as your testimonial.

    Open answer

  6. May we publish your comments as a testimonial?

    Choose one:

    • Yes, with my name
    • Yes, anonymously
    • No