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Form, Signup & Checkout Abandonment Survey Template

Pinpoint why users abandon forms, signup or checkout. Capture feedback to fix blockers, recover revenue, and raise completion and conversion rates.

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
dropdown
When did you last attempt this flow?
Q2
multiple choice
Which type of flow did you pause?
  • Create account / sign up
  • Checkout / purchase
  • Upgrade / subscribe
  • Booking / reservation
  • Add payment method
  • Form submission (e.g., application, quote)
  • Onboarding / setup
  • Feature configuration / settings
  • Search / discovery
Q3
multiple choice
Where were you doing this?
  • Mobile app
  • Mobile web browser
  • Desktop/laptop web browser
  • Tablet
Q4
multiple choice
Which step best describes where you left off?
  • Selecting items or options
  • Review / cart / summary
  • Sign in or account creation
  • Payment or billing
  • Identity / verification
  • Address or shipping details
  • Confirmation step
  • I don’t remember
Q5
multiple choice
Attention check: To confirm you’re paying attention, please select “I agree.”
  • I agree
  • I’m not sure
  • I disagree
Q6
multiple choice
What were the main reasons you didn’t finish? Select all that apply.
  • Too many steps or took too long
  • Confusing navigation or instructions
  • Price or fees felt too high
  • Trust or security concerns
  • Technical issue or error
  • Payment declined or verification failed
  • Missing required info (e.g., ID, document)
  • Slow load times or performance
  • Wanted to compare options or not ready
  • Prefer to do it on another device
Q7
long text
If there was an error or decline, what happened? Please include any messages you saw.
Max 600 chars
Q8
opinion scale
How likely are you to try again in the next 7 days?
Q9
ranking
Rank your top blockers to completion (top = biggest blocker).
Q10
multiple choice
What would most help you complete it next time? Pick up to 3.
  • Shorter or fewer steps
  • Clearer guidance and examples
  • Save progress and resume later
  • Guest checkout or fewer fields
  • More payment options
  • Installments or pay later
  • Live chat or faster support
  • Better error messages
  • Show total cost and fees earlier
Q11
multiple choice
Would any incentives motivate you to finish? Select all that apply.
  • Small discount or coupon
  • Free shipping or waived fees
  • Bonus feature or trial extension
  • Loyalty points or credit
  • None of these
Q12
multiple choice
If we followed up, which channel would you prefer?
  • In‑app message
  • Email
  • SMS/text
  • Push notification
  • No follow‑up
Q13
rating
Overall, how clear were the steps in this flow?
Q14
long text
Anything else we should fix or know about this flow?
Max 600 chars
Q15
dropdown
Which region do you live in?
Q16
dropdown
What is your age group?
Q17
multiple choice
How do you describe your gender?
  • Woman
  • Man
  • Non‑binary
  • Prefer not to say
Q18
dropdown
What is the highest level of education you’ve completed?
Q19
multiple choice
What best describes your current employment status?
  • Full‑time
  • Part‑time
  • Self‑employed
  • Student
  • Homemaker/Caregiver
  • Unemployed
  • Retired
  • Prefer not to say
Q20
chat message
Welcome! This quick survey asks about a recent task you started but didn’t complete. Your feedback will help us improve the experience.
Q21
long text
Any final comments about returning to complete the flow?
Max 600 chars
Q22
ai interview
AI Interview: 2 Follow-up Questions on your paused flow
AI Interview
Q23
chat message
Thank you for your time—your feedback helps us improve.

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Form, Signup & Checkout Abandonment Survey Template - Survey Template | QuestionPunk