Captures structured cancellation feedback from recently churned customers to identify primary churn drivers, unmet value expectations, and win-back levers for product and retention teams.
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
19
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
Chat Message
Thank you for taking a few minutes to share your cancellation experience. This survey is voluntary and should take about 5 minutes. Your responses are confidential, will be reported in aggregate, and will help us improve our product and services. There are no right or wrong answers—we simply want your honest feedback. You may stop at any time.
Q2
Dropdown
Before canceling, how often did you typically use the product?
Less than once a month
A few times a month
About once a week
A few times a week
Daily or almost daily
Q3
Dropdown
How long had you been using the product before you canceled?
Less than 1 month
1 to 3 months
4 to 6 months
7 to 12 months
More than 1 year
Q4
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
Other (please specify)
Q5
Multiple Choice
Beyond your primary reason above, which of the following were additional contributing 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
None — only my primary reason
Q6
Long Text
If you switched to another provider, which one did you move to? If you did not switch, please type 'N/A.'
Max chars
Q7
Long Text
In your own words, what best describes what led you to cancel?
Max chars
Q8
Opinion Scale
Overall, how well did the product fit your needs?
Range: 1 – 7
Min: Not at all wellMid: NeutralMax: Extremely well
Q9
Long Text
What value did you expect from the product that you did not experience? Please be as specific as you can.
Max chars
Q10
Multiple Choice
Which of the following 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
Other (please specify)
Q11
Opinion Scale
How likely are you to try our product again in the next 6 months?
If price were a factor in your decision, which monthly price range would make you consider returning?
Price was not a factor
Less than $10/month
$10 – $24/month
$25 – $49/month
$50 – $99/month
$100 – $199/month
$200 or more/month
Q13
AI Interview
We'd like to understand your cancellation experience in more depth. An AI interviewer will ask you a couple of brief follow-up questions based on your earlier answers.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 5
Q14
Long Text
Based on your responses in this survey, is there anything else you'd like to share about your experience or suggestions for how we could improve?
Max chars
Q15
Dropdown
Which of the following best describes your role?
Individual contributor
Team lead or Manager
Director
Executive
Founder or Owner
Consultant or Freelancer
Student
Other
Q16
Dropdown
Approximately how many employees are in your organization?
Just me
2 to 10
11 to 50
51 to 200
201 to 1,000
1,001 to 5,000
More than 5,000
Q17
Dropdown
What industry do you primarily work in?
Technology
Education
Healthcare
Finance
Retail or eCommerce
Media or Entertainment
Professional Services
Nonprofit
Government
Other
Q18
Dropdown
What region are you located in?
North America
Europe
Asia-Pacific
Latin America
Middle East & Africa
Other
Q19
Chat Message
Thank you for sharing your experience—your feedback will directly inform product and service improvements. We appreciate your time!
Frequently Asked Questions
What is QuestionPunk?
QuestionPunk is an AI-powered survey and research platform that turns traditional surveys into adaptive conversations. Describe your research goal and get a complete survey draft, conduct AI-moderated interviews with dynamic follow-ups, detect low-quality responses, and produce insights automatically. It's fast, flexible, and scalable across qualitative and quantitative research.
How do I create my first survey?
Sign up, then choose how to build: describe your research goal and let AI generate a survey, pick a template, or start from scratch. Add question types, set logic, preview, and share.
Can the AI generate a survey from a prompt?
Yes. Describe your research goal in plain language and QuestionPunk drafts a complete survey with appropriate question types, ordering, and AI follow-up logic. You can then customize before publishing.
What question types are available?
QuestionPunk supports a wide range of question types: opinion scale, rating, multiple choice, dropdown, ranking, matrix, constant sum, AI interview (text and audio), long text, short text, email, phone, date, address, website, numeric, audio/video recording, contact form, chat message, conversation reset, button, page breaks, and more.
How do AI interviews work?
AI interviews conduct adaptive conversations with respondents. The AI asks follow-up questions based on what the respondent says, probing for clarity and depth. You control the personality, tone, model (Haiku, Sonnet, or Opus), and question mode (fixed count, AI decides when to stop, or time-based).
Can I test my survey before launching?
Yes. Use synthetic testing to create AI personas and run them through your survey. This helps catch issues with question flow, logic, and wording before real respondents see it.
How many languages are supported?
QuestionPunk supports 142+ languages. Add languages from the survey editor, auto-translate questions, and share language-specific links. AI interviews also adapt to the respondent's language automatically.
How can I share my survey?
Share via a direct link (with optional custom slug), embed on your website (iframe or script), distribute through Prolific for research panels, or generate a QR code for physical distribution.
Can I export survey results?
Yes. Export as CSV (flat or wide layout), Excel (XLSX), or export the survey structure as PDF/Word. Filter by suspicious level, response type, language, or date range before exporting.
Does QuestionPunk detect fraudulent responses?
Yes. Every response is automatically classified with a suspicious level (low/medium/high) based on attention checks, response timing, and behavioral signals. You can filter flagged responses in the Responses tab.
What are the pricing plans?
Basic (Free): 20 responses/month. Business ($50/month or $500/year): 5,000 responses/month with priority support. Enterprise (Custom): unlimited responses, remove branding, custom domain, and dedicated support.
How long does support take to reply?
We reply within 24 hours, often much sooner. Include key details in your message to help us assist you faster.