Questionnaire template
General Feedback Form
Collects compliments, suggestions, complaints or questions from customers, with satisfaction and optional reply details.
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Other · Contact forms. All Other templates
Questions in this template
Your Feedback
We welcome all feedback, good or bad. Tell us what is on your mind and, if you would like a reply, how to reach you.
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What kind of feedback would you like to give?
Choose one:
- Compliment
- Suggestion
- Complaint
- Question
- Other
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What kind of feedback is it?
Condition: Shown when Other is selected
Open answer
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What is your feedback about?
Choose one from a list:
- A product
- A service
- Our website or app
- A member of staff
- Billing or payment
- Delivery
- Something else
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Please tell us more.
Open answer
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What would you like us to do to put things right?
Condition: Shown for complaints
Open answer
Your Experience With Us
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Overall, how satisfied are you with us?
Choose one:
- Very dissatisfied
- Dissatisfied
- Neither satisfied nor dissatisfied
- Satisfied
- Very satisfied
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How likely are you to recommend us to a friend or colleague?
A number from 0 to 10
Contact Details
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Would you like a reply?
Choose one:
- Yes
- No
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Your name
Condition: Shown when a reply is wanted
Open answer
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How should we reply?
Condition: Shown when a reply is wanted
Choose one:
- Phone
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Your email address
Condition: Shown when a reply by email is wanted
Open answer
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Your phone number
Condition: Shown when a reply by phone is wanted
Open answer