All templates
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.

No sign-up to try · Unlimited responses on the free plan

Live preview
At-Risk Account Churn & Retention Assessment

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.

Powered by QuestionPunk

Default theme. Colors and fonts are yours to change.

Sample questions

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

20 questions · ~10 min
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.

Q01
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)
Q02
Opinion Scale

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

Scale: 1 – 7
Min:Very poor valueMax:Exceptional value
Q03
Opinion Scale

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

Scale: 1 – 7
Min:Very unlikely to renewMax:Very likely to renew
Q04
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)
Q05
Multiple Choice

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

  • Increased
  • Stayed about the same
  • Decreased
Q06
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)
Q07
Opinion Scale

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

Scale: 1 – 7
Min:Not at allMax:To a great extent
Q08
Opinion Scale

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

Scale: 1 – 7
Min:Not at allMax:To a great extent
Q09
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
Long Text

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

Q11
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
Q12
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
Q13
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)
Q14
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
Q15
Long Text

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

Q16
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.

Q17
Dropdown

How long have you used our product?

  • Less than 3 months
  • 3–6 months
  • 7–12 months
  • 1–2 years
  • 3+ years
Q18
Dropdown

Approximately how many employees are in your company?

  • 1–10
  • 11–50
  • 51–200
  • 201–1,000
  • 1,001–5,000
  • 5,001+
Q19
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)
Q20
Dropdown

Where is your organization primarily located?

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

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

Frequently asked questions

What questions are in the “At-Risk Account Churn & Retention Assessment” template?

The template includes 20 ready-to-use questions, starting with: “Which role best describes how you use or influence our product?” · “How would you rate the overall value our product has delivered in the past 90 days?” · “How likely are you to renew your subscription at the next term?”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 20 questions in about 10 minutes.

Can I customize this template?

Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.

Is this template free to use?

Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.

Ready to launch?

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

Related templates

More studies on similar topics.

See all