Customer feedback form template
A customer feedback form that reads like a chat. Six questions, no page loads, and answers save as people type. Free to use, no signup required.
6 questions · about 1 minute to fill in · free
↵ to send
Try it — this is exactly what your respondents will see.
What's in this template
Every question below is already written. Keep the ones that work, rewrite the rest, and delete anything you don't need.
- 01
First one's easy — how likely are you to recommend us to someone else?
0–10 scaleRequired
- 02
What's behind that number?
Long textOptional
- 03
What do you do day to day?
Pick oneOptional
FounderMarketingSalesProductOpsSomething else - 04
What's the one thing you'd hate to lose?
Short textOptional
- 05
And what's missing?
Long textOptional
- 06
Want us to follow up? Drop your email — otherwise just skip.
EmailOptional
Make it yours in about a minute
No account, no card. You'll have a live link before you've decided what to call it.
Use this template