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FORM TEMPLATE · General

Customer feedback survey

Rate the experience, say what went well and what did not, and choose whether to be contacted.

Your honest feedback helps us improve. It takes about two minutes.

About you

  • Nametext
  • Emailemail

Your experience

  • Datetext, optional
  • Overall satisfactionchoiceVery satisfied · Satisfied · Neither · Dissatisfied · Very dissatisfiedThink of the whole experience, not one moment.
  • Likely to recommendchoice0 · 1 · 2 · 3 · 4 · 5 · 6 · 7 · 8 · 9 · 100 is not at all likely, 10 is extremely likely.
  • What went welltext, optional
  • What could be bettertext, optionalOne specific thing helps most.
  • Parts usedchoose any, optionalIn person · Online · By phone · Delivery · Support

Permissions

  • You may contact me about my feedback.tick box, optional
  • You may quote my comments, without my name, in your own materials.tick box, optional

Signature

  • Customer signaturesignature
  • Customer date signeddate signed

What people see

The form, the way the person with the link fills it in.

What people agree to

The wording beside each box.

  • You may contact me about my feedback.
  • You may quote my comments, without my name, in your own materials.

When you publish

It starts with these settings.

  • People sign without an email check.
  • The person's signature completes each response.
  • No limit on responses.
  • After signing, people can start another response.
  • No email to you per response; they wait in Forms.
  • No confirmation email to the person.

Change any of them on the Publish step before the link goes live.

Questions

Quick answers.

Who fills it in?

Anyone with the link. They are the customer in this form, type their own name and email, fill in each box and sign.

Can I change the questions?

Yes. In your workspace it is your own copy: add, remove or reword any field, then publish it. The original is never changed.

Can people attach files?

Where the form has a file box, people may attach a PDF or a picture. It is stored exactly as they upload it and never converted.

Is this legal advice?

No. It is a starting point in plain words. Change what does not fit before you publish it.

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Publish your customer feedback survey form today.

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