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Customer Experience

At-Risk Account Churn & Retention Assessment

Identifies churn signals, switching intent, and high-impact retention levers among at-risk B2B accounts to inform targeted save strategies and renewal planning.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

22 questions · ~10 min
Q01
Message

Thank you for taking a few minutes to share your experience with us. This short survey (approximately 10 minutes) asks about your team's current experience, any challenges you're facing, and how we can better support your goals. There are no right or wrong answers — we're looking for your honest perspective. Your responses are confidential and will be reported in aggregate to improve our product and services. Participation is voluntary, and you may stop at any time.

Q02
Multiple Choice

Which role best describes how you use or influence our product?

  • Decision maker
  • Executive sponsor
  • Administrator
  • Power user
  • Regular user
  • Procurement / Legal
  • Other (please specify)
Q03
Multiple Choice

Compared to 90 days ago, how has your team's usage of our product changed?

  • Increased
  • Stayed about the same
  • Decreased
Q04
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
Q05
Multiple Choice

Which actions in the next 30–60 days would most increase your likelihood to stay? (Select up to 3)

  • 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
  • Other (please specify)
Q06
Long Text

Based on your responses in this survey, is there anything else we should know to help your team succeed?

Q07
Dropdown

How long have you used our product?

  • Less than 3 months
  • 3–6 months
  • 7–12 months
  • 1–2 years
  • 3+ years
Q08
Message

Thank you for your time — your feedback directly shapes how we support your team going forward. If you'd like to discuss anything further, please reach out to your account team.

Q09
Opinion Scale

How would you rate the overall value our product has delivered in the past 90 days?

Scale: 17
Min:Very poor valueMax:Exceptional value
Q10
Multiple Choice

What are the main reasons your team's usage has decreased? (Select all that apply)

  • Fewer active users
  • Key feature not adopted
  • Integration blocked or broken
  • Performance issues
  • Data quality concerns
  • Change in priorities
  • Budget cuts
  • Seasonal cycle
  • Other (please specify)
Q11
Long Text

If you are evaluating specific vendors, which ones are you comparing us to?

Q12
Dropdown

Approximately when is your next renewal or decision date?

  • Within 30 days
  • 1–3 months
  • 4–6 months
  • 7–12 months
  • More than 12 months
  • Not sure
Q13
AI Interview

We'd like to explore a few of your responses in more depth. Our AI moderator will ask 2 brief follow-up questions.

Q14
Dropdown

Approximately how many employees are in your company?

  • 1–10
  • 11–50
  • 51–200
  • 201–1,000
  • 1,001–5,000
  • 5,001+
Q15
Opinion Scale

How likely are you to renew your subscription at the next term?

Scale: 17
Min:Very unlikely to renewMax:Very likely to renew
Q16
Opinion Scale

To what extent has our product helped your team achieve its key goals in the past 90 days?

Scale: 17
Min:Not at allMax:To a great extent
Q17
Ranking

Please rank the top factors that would drive a switch to an alternative (1 = most important).

  1. Total cost / price
  2. Feature fit to our use cases
  3. Ease of migration
  4. Security / compliance posture
  5. Reliability / performance
  6. Integrations and APIs
  7. Quality of support / services
Drag to rank
Q18
Dropdown

Which industry best describes your organization?

  • Technology
  • Financial services
  • Healthcare
  • Retail / eCommerce
  • Manufacturing
  • Education
  • Government / Public sector
  • Professional services
  • Media / Entertainment
  • Other (please specify)
Q19
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
  • Other (please specify)
Q20
Opinion Scale

To what extent are you realizing a strong return on your investment in our product?

Scale: 17
Min:Not at allMax:To a great extent
Q21
Dropdown

At approximately what percentage price increase would you seriously consider switching?

  • 0–5%
  • 6–10%
  • 11–15%
  • 16–20%
  • 21–30%
  • 31–50%
  • More than 50%
  • Price is not a switching factor
Q22
Dropdown

Where is your organization primarily located?

  • North America
  • Europe
  • Asia-Pacific
  • Latin America
  • Middle East / Africa
  • Multiple regions / Global

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

Why this template

What this template is built to do — we found no directly comparable template from other survey tools to review.

What sets it apart

  • Combines a full quantitative churn-risk battery (renewal likelihood, value/ROI ratings, usage-change tracking, switching-driver ranking, price-sensitivity threshold) with an adaptive AI follow-up interview that probes each at-risk respondent's specific answers in real time
  • Captures concrete competitive intelligence via open-text vendor comparisons and a ranked list of switch-driving factors, not just closed-ended satisfaction scores
  • Surfaces actionable save-play data by asking which specific actions in the next 30-60 days would most increase likelihood to stay, tied to a stated renewal/decision date
  • Segments findings by role, tenure, company size, industry, and region so retention teams can target save strategies by account profile

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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