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Customer Churn Risk & Retention Survey Template

Spot at-risk customers, reduce churn, and boost retention with this customer feedback survey template. Quick to send and answer in only 3-5 minutes.

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
In the past 30 days, how often have you used our product?
  • Daily
  • Several times a week
  • Weekly
  • 2–3 times a month
  • About once a month
  • Less than monthly
  • Not in the last 30 days
Q2
multiple choice
Compared with three months ago, has your usage...
  • Increased a lot
  • Increased a little
  • No change
  • Decreased a little
  • Decreased a lot
  • Stopped using
Q3
matrix
Please rate your agreement with the following statements about the last 30 days.
Q4
rating
Overall value for money in the last 90 days.
Q5
multiple choice
Which capabilities are missing or difficult for you today? (Select all that apply.)
  • Reporting and analytics
  • Collaboration/sharing
  • Mobile access
  • Integrations with other tools
  • Customization/flexibility
  • Admin controls and permissions
  • Performance/speed
  • Onboarding or education
  • Documentation or self-serve help
Q6
opinion scale
How likely are you to continue using/paying in the next 90 days?
Q7
multiple choice
What are the main reasons you might cancel or reduce your plan? (Select all that apply.)
  • I no longer need the product
  • Missing key features
  • Too complex/hard to use
  • Performance or reliability issues
  • Poor support experience
  • Price/cost is too high
  • Switching to another provider
  • Budget cuts or approvals blocked
  • Security, privacy, or compliance concerns
Q8
multiple choice
If you left us, what would you do instead?
  • Switch to another provider
  • Build an internal solution
  • Use a manual workaround
  • Do without any solution
  • Not sure
Q9
ranking
Rank up to three actions that would most increase your likelihood to stay.
Q10
numeric
What monthly USD‑equivalent price would feel fair for the value you receive today?
Q11
rating
If you interacted with support in the last 90 days, how would you rate the experience?
Q12
multiple choice
Attention check: Please select "I am paying attention."
  • I am paying attention
  • I am not paying attention
  • Prefer not to say
Q13
multiple choice
What is your primary role with the product?
  • Day-to-day user
  • Admin/Owner
  • Decision maker
  • Executive sponsor
  • Consultant/Partner
  • Other
Q14
multiple choice
Approximately how many employees are in your organization?
  • 1–10
  • 11–50
  • 51–200
  • 201–1,000
  • 1,001–5,000
  • 5,001+
Q15
multiple choice
How long has your organization used our product?
  • Less than 1 month
  • 1–3 months
  • 4–12 months
  • 1–2 years
  • 3+ years
  • Not sure
Q16
multiple choice
Which plan are you currently on?
  • Free/Trial
  • Paid monthly
  • Paid annually
  • Not sure
Q17
long text
Anything else we should change to keep your business?
Max 600 chars
Q18
chat message
Welcome! Thanks for helping us improve. Please answer based on your experience in the last 90 days unless noted.
Q19
ai interview
AI Interview: 2 Follow-up Questions on churn risk and retention
AI Interview
Q20
chat message
Thank you for completing the survey! Your feedback directly helps us improve.

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Customer Churn Risk & Retention Survey Template - Survey Template | QuestionPunk