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Questionnaire template

Product Quality Complaint

Collects a customer's product quality complaint: what was bought, satisfaction with key features, the problem met and suggested fixes.

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Other · Complaint forms. All Other templates

Questions in this template

Your Purchase

  1. We are sorry the product did not meet your expectations. Telling us what happened helps us put it right and improve what we make.

  2. Which of our products is this about?

    Choose one from a list:

    • Product A
    • Product B
    • Product C
    • Other

  3. Please name the product.

    Condition: Shown when Other is selected

    Open answer

  4. What made you choose this product? Select all that apply.

    Choose any that apply:

    • Quality
    • Price
    • Someone recommended it
    • Brand reputation
    • Other

  5. What other reason led you to choose it?

    Condition: Shown when Other is selected

    Open answer

Quality and Performance

  1. How satisfied are you with each of these features of the product?

    • Look and finish
    • Ease of use
    • How well it works
    • How long it lasts
    • Value for money

    For each row: choose one:

    • Very dissatisfied
    • Dissatisfied
    • Neutral
    • Satisfied
    • Very satisfied

  2. Did you have a problem with the product?

    Choose one:

    • Yes
    • No

  3. Please describe the problem, including when it started and how it affected you.

    Condition: Shown to respondents who had a problem

    Open answer

Overall View

  1. All things considered, how satisfied are you with the product?

    A number from 0 to 10

  2. Would you recommend this product to other people?

    Choose one:

    • Yes
    • No
    • Maybe

  3. How could we make this product better?

    Open answer