Customer feedback form template

Collect structured feedback from customers about a product or service: ratings on the parts that matter, what to keep, what to fix.

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  • Unlimited responses on Free
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Question 1 of 7

Overall, how was your experience with us?*

PoorExcellent

What’s inside the customer feedback form template

This customer feedback form asks customers to rate the experience overall and on quality, value for money, communication and speed, then say what went well and what to fix. It includes the 0–10 recommend question, and anyone who answers 9 or 10 finishes on a button to leave a Google review. Customers can attach a photo or screenshot.

Change any question, theme or ending in the editor on the PulseFormCreator homepage, then share it by link, QR code or embed. If this one does not fit, browse free form templates.

  • 3 questions only appear when an earlier answer calls for them.
  • A logic rule skips ahead or ends early, based on the answers.
  • 2 thank-you screens, picked by the answers: “Thank you, that means a lot”, “Thanks for your feedback”.
  • Hidden fields filled from the link: customer_id, order_or_job_id, channel.
  1. 1 Rating: Overall, how was your experience with us?
  2. 2 Matrix / Likert: How would you rate us on…
  3. 3 Long answer: What did we do well? (optional)
  4. 4 Long answer: What should we do better? (when needed)
  5. 5 Long answer: Anything we could do to make it even better? (optional) (when needed)
  6. 6 NPS: How likely are you to recommend us to a friend? (optional)
  7. 7 Multiple choice: How did you find us? (optional)
  8. 8 File upload: Want to show us something? Add a screenshot or photo. (optional)
  9. 9 Yes / No: Can we contact you about your feedback? (optional)
  10. 10 Email: Your email (when needed)

Why this template works

  • An overall rating of 3 or lower makes "What should we do better?" required. Ratings of 4 or 5 get an optional "even better" question.
  • The Google review button only appears for people who answer 9 or 10 on the recommend question.
  • Hidden fields tie each response to a customer ID and an order or job ID from the link.

Works with

Connect these after you publish, from the Connect tab.

  • Slack Post new feedback to a #feedback channel
  • Google Sheets Keep every response in a sheet
  • Notion Build a feedback database
  • Partial responses and drop-off insights Pro
  • Uploads over 10 MB Pro On Free: up to 10 MB per file.

Questions about this template

Is there a printable version?

No. PulseFormCreator forms are online only. If you hand out paper, print the form's QR code on a card so customers can open it on their phone.

What is the difference between this and a CSAT survey?

A CSAT survey measures satisfaction with one score. This form also rates four parts of the experience and collects comments and a review.

Start with the customer feedback form template

Edit it straight away with no account. You only confirm your email when you publish.