All Templates

Customer Churn, Cancellation & Win-Back Survey Template

Get cancellation feedback, uncover missing value, and test win-back offers. Churn exit survey template to collect insights and reduce churn.

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
opinion scale
Before canceling, how often did you use the product?
Q2
dropdown
How long had you used the product before canceling?
Q3
multiple choice
What was the single biggest reason you canceled?
  • Price was too high
  • Did not get enough value
  • Missing critical features
  • Bugs or reliability issues
  • Switched to a competitor
  • Customer support problems
  • Hard to use
  • Temporary or short-term need ended
  • Budget or funding cuts
  • Onboarding or setup was difficult
  • Data, privacy, or security concerns
Q4
numeric
Approximately what monthly price (in your currency) would make you reconsider returning?
Q5
short text
If you switched, which provider did you move to (if any)?
Max 100 chars
Q6
long text
Please share any details that best describe what led to canceling.
Max 600 chars
Q7
multiple choice
Were any of the following also factors? Select all that apply.
  • Price was too high
  • Did not get enough value
  • Missing critical features
  • Bugs or reliability issues
  • Switched to a competitor
  • Customer support problems
  • Hard to use
  • Temporary or short-term need ended
  • Budget or funding cuts
  • Onboarding or setup was difficult
  • Data, privacy, or security concerns
Q8
long text
What value did you expect but did not experience with us? Please be as specific as you can.
Max 600 chars
Q9
opinion scale
Overall, how well did the product fit your needs?
Q10
multiple choice
Attention check: To confirm you are reading carefully, please select "I am paying attention."
  • I am paying attention
  • I am not paying attention
Q11
multiple choice
What would most increase your likelihood of returning? Select up to three.
  • Lower price or a more affordable plan
  • Add the specific feature(s) I need
  • Improve reliability or performance
  • Better onboarding and guidance
  • Easier integrations with my tools
  • More responsive, higher-quality support
  • Month-to-month or more flexible billing
  • Longer free trial or return discount
  • Stronger data privacy and security assurances
  • Nothing would bring me back
Q12
rating
How likely are you to try us again in the next 6 months?
Q13
dropdown
Which best describes your role?
Q14
dropdown
About how many employees are in your organization?
Q15
dropdown
What industry do you primarily work in?
Q16
short text
What country or region are you in?
Max 100 chars
Q17
chat message
Welcome! This short survey should take about 5 minutes. Please answer based on your most recent experience canceling.
Q18
long text
Any other feedback or suggestions you would like to share?
Max 600 chars
Q19
ai interview
AI Interview: 2 Follow-up Questions on Your Cancellation Experience
AI Interview
Q20
chat message
Thanks for your time and insights—we appreciate your feedback!

Ready to Get Started?

Launch your survey in minutes with this pre-built template

Customer Churn, Cancellation & Win-Back Survey Template - Survey Template | QuestionPunk