Q01
Message
All templatesCustomer Experience
Subscription Cancel-Flow & Retention Offer Fairness Survey
Measures the usability of the subscription cancellation process, perceived fairness of retention offers, and key churn drivers. Designed for current or recently canceled subscribers to inform win-back strategy and CX improvements.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
23 questions · ~10 min
Q02
Multiple Choice
Which of the following best describes your current status with this subscription?
- Active and paying
- Active on a free trial
- Paused
- Canceled within the last 90 days
- Canceled 90+ days ago
- Considering canceling
Q03
Opinion Scale
How easy or difficult was it to find the cancellation option on the website or app?
Scale: 1 – 7
Min:Very difficultMax:Very easy
Q04
Multiple Choice
During the cancellation process, which of the following offers or alternatives were you presented with? Select all that apply.
- One-time discount
- Lower-priced plan or downgrade
- Pause option
- Extended trial or free months
- Added features or bundle
- None — I was not shown any offers
- Other (please specify)
Q05
Opinion Scale
I felt pressured to stay subscribed during the cancellation process.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q06
Ranking
Please rank the following reasons for canceling (or considering canceling) in order of importance to you, with the most important reason first.
- Price is too high
- Not using it enough
- Found a better alternative
- Technical or service issues
- Content or features not relevant
- Billing or account frustration
Drag to rank
Q07
Long Text
Based on your experience, what would make the cancellation process and any retention offers feel more fair or transparent?
Q08
Dropdown
In which region do you currently reside?
- United States
- United Kingdom
- Canada
- Australia
- European Union (other)
- Asia
- Latin America
- Africa
- Middle East
- Other
Q09
Message
Thank you for sharing your experience. Your feedback helps us improve the cancellation process and build a better service. Your responses have been recorded.
Q10
Multiple Choice
In the past 12 months, have you attempted to cancel or pause this subscription?
- Yes — I successfully canceled
- Yes — I tried but did not complete cancellation
- Yes — I paused instead of canceling
- No, I have not tried
Q11
Opinion Scale
How clear were the steps you needed to complete in order to cancel?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q12
Opinion Scale
How fair or unfair did the retention offer(s) you were shown feel?
Scale: 1 – 7
Min:Very unfairMax:Very fair
Q13
Opinion Scale
How clear or unclear are the company's cancellation and refund policies?
Scale: 1 – 7
Min:Very unclearMax:Very clear
Q14
AI Interview
We'd like to learn a bit more about your cancellation experience. A few brief follow-up questions will appear below.
Q15
Dropdown
What is your age group?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Q16
Opinion Scale
How clear were the terms and conditions presented during cancellation (e.g., final billing date, remaining access)?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q17
Opinion Scale
The offer(s) I was shown felt relevant to my situation.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q18
Opinion Scale
After your cancellation or attempted cancellation experience, how much do you trust this brand?
Scale: 1 – 7
Min:Do not trust at allMax:Trust completely
Q19
Multiple Choice
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer not to say
Q20
Opinion Scale
Overall, how clear was the cancellation process from start to finish?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q21
Opinion Scale
It was clear what I would receive if I accepted the offer.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q22
Dropdown
What is the highest level of education you have completed?
- Less than high school
- High school or GED
- Some college or vocational training
- Bachelor's degree
- Master's degree
- Doctoral or professional degree
- Prefer not to say
Q23
Dropdown
What is your current employment status?
- Employed full-time
- Employed part-time
- Self-employed
- Student
- Homemaker or caregiver
- Unemployed and seeking work
- Not seeking work
- Retired
- Prefer not to say
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.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Includes dedicated opinion-scale questions isolating findability, step clarity, terms clarity, and overall process clarity — not just one generic 'how was it' rating
- Directly measures retention-offer fairness, relevance, and perceived pressure with separate scaled items, plus a ranking question for churn-reason prioritization
- Adds an AI follow-up interview segment that can adaptively probe open-ended cancellation pain points beyond a static open-text box
- Ends with an automated report structure and transparent question design, useful for CX/win-back teams needing defensible, explainable findings
Jotform
Subscription Cancellation Survey Form Form TemplateThis is a genuinely comparable, ready-to-field form focused on subscription cancellation feedback. It appears built for quick deployment and light customization via Jotform's form builder rather than for deep behavioral or churn-driver analysis. As a static form template, it likely centers on basic reason-for-cancellation and satisfaction questions rather than layered fairness/pressure metrics.
What it does well
- Ready-to-use, fielding-ready form template specifically for cancellation feedback
- Easy drag-and-drop customization within Jotform's broader form ecosystem
- Simple, low-friction format likely to get quick completion from canceling users
Where it falls short
- Static question set with no adaptive AI follow-up to probe why a specific answer was given
- No built-in per-response quality scoring to flag rushed or low-effort submissions
- No transparent, published methodology or prompt logic behind question design
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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