Customer Churn Risk Survey Template (At‑Risk Accounts) - Survey Template | QuestionPunk
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Customer Churn Risk Survey Template (At‑Risk Accounts)

Detect churn risk early, reveal switching alternatives, and launch save plays. Proven customer success template to retain at‑risk accounts.

What's Included

AI-Powered Questions

Intelligent follow-up questions based on responses

Automated Analysis

Real-time sentiment and insight detection

Smart Distribution

Target the right audience automatically

Detailed Reports

Comprehensive insights and recommendations

Sample Survey Items

Q1
multiple choice
Which role best describes how you use or influence our product?
  • Decision maker
  • Administrator
  • Power user
  • Regular user
  • Executive sponsor
  • Procurement/legal
Q2
rating
Overall value our product delivered in the past 90 days:
Q3
opinion scale
How likely are you to renew at the next term?
Q4
multiple choice
What is the single biggest risk to renewal right now?
  • Value fit
  • Adoption/engagement
  • Missing features
  • Reliability/performance
  • Support experience
  • Pricing/ROI
  • Contract terms
  • Budget freeze/reorg
  • Champion left
  • Security/compliance
Q5
multiple choice
Compared to 90 days ago, your team’s usage has:
  • Increased
  • Stayed about the same
  • Decreased
Q6
multiple choice
If decreased, what are the main reasons?
  • Fewer active users
  • Key feature not adopted
  • Integration blocked/broken
  • Performance issues
  • Data quality concerns
  • Change in priorities
  • Budget cuts
  • Seasonal cycle
Q7
matrix
Please indicate your agreement with the following statements about outcomes in the past 90 days.
Q8
multiple choice
Attention check: Please select "Strongly agree" below.
  • Strongly disagree
  • Disagree
  • Neutral
  • Agree
  • Strongly agree
Q9
multiple choice
Which alternatives, if any, are you actively considering?
  • Another commercial vendor
  • Build in-house
  • Manual process/Spreadsheet
  • Outsource to agency/partner
  • Do nothing (status quo)
  • Not evaluating alternatives
Q10
short text
Which vendor(s) are you comparing us to?
Max 100 chars
Q11
ranking
Rank the top factors that would drive a switch (1 = most important).
Q12
numeric
At approximately what percent price increase versus today would you seriously consider switching? Enter a whole number (e.g., 20 for 20%).
Q13
multiple choice
What actions in the next 30–60 days would most increase your likelihood to stay?
  • Targeted training/onboarding
  • Close a specific product gap
  • Improve performance/reliability
  • Dedicated success manager
  • Better reporting/insights
  • More flexible contract/terms
  • Price concession
  • Executive check-ins
  • Security/compliance validation
Q14
date
When is your next renewal or decision date (approximate is fine)?
Q15
multiple choice
Approximately how many employees are in your company?
  • 1–10
  • 11–50
  • 51–200
  • 201–1,000
  • 1,001–5,000
  • 5,001+
Q16
multiple choice
Which industry best describes your organization?
  • Technology
  • Financial services
  • Healthcare
  • Retail/eCommerce
  • Manufacturing
  • Education
  • Government/Public sector
  • Other
Q17
multiple choice
Where is your organization primarily located?
  • North America
  • Europe
  • Asia-Pacific
  • Latin America
  • Middle East/Africa
  • Multiple regions/Global
Q18
multiple choice
How long have you used our product?
  • Less than 3 months
  • 3–6 months
  • 7–12 months
  • 1–2 years
  • 3+ years
Q19
long text
Anything else we should know to help your team succeed?
Max 600 chars
Q20
ai interview
AI Interview: 2 Follow-up Questions on your key responses
AI Interview
Q21
chat message
Thank you for your time—your feedback helps us improve.

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