Online Customer Feedback Form

Scan to try it on your mobile:

Customer Feedback

We're happy to have you as a new client and are eager to hear your first experience with our product

Your full name

Your business email

Please consult the invoice for the actual date

Your detailed feedback

Overall Satisfaction *

What was your overall satisfaction with our product

Share your feedback - hit the Submit button

Easily customize, embed or share this Customer Feedback form.

Every Response becomes a Task in a table:

Checklist form table Customer Feedback

No Coding Required!

Streamline Your Customer Feedback Process

Our online customer feedback form is a simple yet powerful tool designed to gather insights directly from your customers.

Click on "Use This Template" and easily cusotmize the form to your specific needs. You can add, remove and make changed to the fields should you need to. Then, share your form by links to it from emails or your website, embedding on your website or generating QR codes to place prominently in your establishment.

Every submission made is automatically added to a checklist with a "table" format as a row/ task. You can then easily manage the responses by assigning it to your team member, setting priorities, adding notes and due dates and much more.

How does it work?

Click on "Use Template" to jumpstart your form. You can always start from scratch later.
If needed, customize the form to fit your situation by adding, edting or removing questions, introduction or instructions.
Embed the form on your website or share it as a link via emails. You can also use a QR code.
Manage responses as tasks in your checklist. Assign them, update status, mark as completed & more.
Export responses to Excel/CSV or sync them with your favorite apps.
Read the documentation ↗
Checklist Editor

Customer Feedback Form Fields:

The following fields are included in the Customer Feedback form. You can easily add or remove additional fields.

Priority - Set a priority to handle the user feedback. This field is not shown on the form.

Assign - Assign specific team members to handle the feedback. This field is not shown on the form.

Due Date - By when should the submission be handled. This field is not shown on the form.

Name (required) - We are asking for the full name. You could also split into two separate fields

Email (required) - We are showing the submitter a preference for their business email

Purchase Date - More purchase questions can be asked

Feedback (required) - Collect detailed feedback from the customer. You can add more fields for specific areas of their experience

Overall Satisfaction (required) - You can add additional fields for more specific satisfaction. E.g. usability, cleaniness, staff friendliness

Customer Feedback Form can be used for:

Customer Feedback

Product Improvement

Service Enhancement

Customer Satisfaction Surveys

User Experience Evaluation

Event Feedback Collection

Market Research

Employee Feedback

Quality Assurance

Website Usability Testing

Post-Purchase Feedback

"Customer Feedback Form" not the right one? Check out more form templates:

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