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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 template, the way the person you send it to fills it in.

  1. Page 1 of 1 of the Customer feedback survey template

Page 1 of 1

Page 1 of 1
Page 1 of 1 of the Customer feedback survey template

In this template

What is on the page.

  • About you: 2 fields
  • Your experience: 6 fields
  • Permissions: 2 fields
  • Signature: 2 fields

It is your own copy in your workspace. Change any of it before you send.

Send it from code

Send the customer feedback survey template from your own code.

Make your own copy once, then send it to the person you name. A test key sends only to you.

send-customer-feedback-survey
npx docustay templates customize customer-feedback-survey --name "Customer feedback survey"
# prints the new template's id; then send it as a test:
npx docustay send --test $DOCUSTAY_TEMPLATE_ID --party 'signer=Name <email>'

What you keep

A sealed copy and its record.

Each person who signs gets the sealed PDF with a certificate of completion, and so do you. Search them in your workspace and read each one by its own record.

Questions

Quick answers.

Who fills it in?

The person you send it to. They are the customer in this template: they type their own name and email, fill in each box and sign.

Can I send it to many people at once?

Yes. Send to a list sends your own copy to each person on it, and each person signs their own copy.

Can I change the questions?

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

Can people attach files?

12 fields make up the customer feedback survey template. Where it has a file box, people may attach a PDF or a picture, and it is stored exactly as they upload it and never converted.

Is this legal advice?

No. The customer feedback survey template is a starting point in plain words. Change what does not fit before you send it.

More like this

More general templates.

Send your customer feedback survey today.

Use this template, free