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
Template Overview
20
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
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.
Rows
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I can accomplish my primary goal with the product.
•
•
•
•
•
It saves me time on key tasks.
•
•
•
•
•
Setup and navigation are straightforward.
•
•
•
•
•
It works reliably when I need it.
•
•
•
•
•
Q4
Rating
Overall value for money in the last 90 days.
Scale: 11 (star)
Min: PoorMax: Excellent
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?
Range: 1 – 10
Min: Definitely will notMid: UnsureMax: Definitely will
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.
Drag to order (top = most important)
Lower price or more flexible pricing
Add specific feature(s) you need
Improve reliability/performance
Provide better onboarding/training
Faster, higher-quality support
Easier integrations
More flexible contract terms
Q10
Numeric
What monthly USD‑equivalent price would feel fair for the value you receive today?
Accepts a numeric value
Whole numbers only
Q11
Rating
If you interacted with support in the last 90 days, how would you rate the experience?
Scale: 11 (star)
Min: Very poorMax: Excellent
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 InterviewLength: 2Personality: [Object Object]Mode: Fast
Q20
Chat Message
Thank you for completing the survey! Your feedback directly helps us improve.
Frequently Asked Questions
What is QuestionPunk?
QuestionPunk is a lightweight survey platform for live AI interviews you control. It's fast, flexible, and scalable—adapting every question in real time, moderating responses across languages, letting you steer prompts, models, and flows, and even generating surveys from a simple prompt. Get interview-grade insight with survey-level speed across qual and quant.
How do I create my first survey?
Sign up, then decide how you want to build: let the AI generate a survey from your prompt, pick a template, or start from scratch. Choose question types, set logic, and preview before sharing.
How can I share surveys with my team?
Send a project link so teammates can view and collaborate instantly.
Can the AI generate a survey from a prompt?
Yes. Provide a prompt and QuestionPunk drafts a survey you can tweak before sending.
How long does support typically take to reply?
We reply within 24 hours—often much sooner. Include key details in your message to help us assist you faster.
Can I export survey results?
Absolutely. Export results as CSV straight from the results page for quick data work.