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Questionnaire template

New Customer Registration Survey

Sign-up questionnaire on what drives new customers' choice, their first experiences and the features they value.

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Other · Registration forms. All Other templates

Questions in this template

What Shapes Your Choice

  1. Welcome, and thank you for signing up. These few questions tell us what matters to you so we can serve you well from the start.

  2. What influences you when deciding to use a service like ours? Select all that apply.

    Choose any that apply:

    • Price
    • Quality
    • Customer service
    • Reputation of the brand
    • Other

  3. What other factor influences you?

    Condition: Shown when Other was selected

    Open answer

  4. How much do reviews from other customers affect your decisions?

    Choose one:

    • Not at all
    • A little
    • A moderate amount
    • A lot

  5. If you have already had an especially good experience with us, what happened? (optional)

    Open answer

Your Experience So Far

  1. Is each of the following true for you so far?

    • The service has lived up to what I expected
    • My contact with the support team went well
    • I have run into technical problems

    For each row: choose one:

    • Yes
    • Not sure
    • No

  2. What technical problem did you run into? (optional)

    Condition: Shown when technical problems were reported

    Open answer

  3. How likely are you to recommend our service to someone you know?

    Choose one:

    • Extremely likely
    • Somewhat likely
    • Neither likely nor unlikely
    • Somewhat unlikely
    • Extremely unlikely

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

    Open answer

What You Value

  1. Which of these features matter most to you? Select all that apply.

    Choose any that apply:

    • An easy-to-use interface
    • Fast customer support
    • A wide range of options
    • Secure payments
    • Speed

  2. On a scale from 1 (lowest) to 10 (highest), how would you rate us on each of these?

    • Ease of use
    • Customer support
    • Features and options

    For each row: choose one:

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10

About You

  1. What is your gender?

    Choose one:

    • Female
    • Male
    • Another gender
    • Prefer not to say

  2. What is your age group?

    Choose one from a list:

    • Under 18
    • 18-24
    • 25-34
    • 35-44
    • 45-54
    • 55 or older