Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Customer Questionnaire Form Template

Easily Gather Valuable Insights from Your Customers

Are you struggling to collect meaningful feedback from your customers? This Customer Questionnaire Form Template helps you gain valuable insights effectively, allowing you to understand their needs and preferences better. With this template, you can assess customer satisfaction, gather opinions on your services, and identify areas for improvement, all with well-structured questions. Plus, its user-friendly design ensures you can easily customize and share it with your audience. Explore the live template to see how it fits your needs.

Use this Template (FREE) Live Preview
Full name
Email address
How did you first hear about us?
Search engine
Social media
Online ad
Friend or colleague
Blog/article or review
Event or webinar
App store/marketplace
Not sure
Other
Please Specify:
Which of our products or services do you currently use?
Product/service A
Product/service B
Product/service C
Free trial only
Not currently using
Other
Please Specify:
How long have you used our product or service?
Under 1 week
1-4 weeks
1-6 months
6-12 months
Over 1 year
Not yet started
How often do you use our product or service?
Very rarely
Rarely
Sometimes
Often
Very often
Overall, how satisfied are you with our product or service?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How easy is it to complete your main tasks with our product or service?
Very difficult
Difficult
Neutral
Easy
Very easy
The product or service meets my needs.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
How would you rate the overall quality?
Poor
Below average
Average
Good
Exceptional
How satisfied are you with the value for money?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
If you have contacted our support, how satisfied were you with the help you received?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
How likely are you to recommend us to a friend or colleague?
0 Not at all likely
1
2
3
4
5 Extremely likely
How likely are you to continue using our product or service over the next 6 months?
Very unlikely
Unlikely
Neutral
Likely
Very likely
What is the one thing we could do to improve your experience?
Which aspects are most important to you?
Please Specify:
May we contact you to discuss your feedback?
Yes
No
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Email address, How did you first hear about us?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
paper art illustration featuring a customer questionnaire form design with checkboxes and text boxes

When to use this form

Use this form when you need clear input from buyers, trial users, or customers at risk of churn. Send it after onboarding to spot setup gaps, before renewal to surface blockers, or after a launch to confirm value. Pair it with the Product feedback form to capture feature-level ideas, and follow up with a Customer service survey form when issues relate to support. Teams that benefit include product, customer success, sales, and support. The outcome: prioritized insights you can act on, from usability fixes to messaging tweaks and training topics. Use responses to segment by role or plan, and route urgent items to owners so nothing gets lost.

Must Ask Customer Questionnaire Questions

  1. What goal were you trying to achieve today?

    This reveals intent and context, so you can judge fit and gaps. It also maps to jobs-to-be-done you can turn into a User story form.

  2. How well did our product help you reach that goal? (1-5)

    This ties outcomes to experience, showing if core value is delivered. Trending this score by segment highlights where to improve.

  3. Which features did you use, and what felt confusing or slow?

    This pinpoints friction and workflow breaks that hurt adoption. These details help you prioritize quick UX fixes and larger roadmap work.

  4. If you could change one thing about our product, what would it be?

    Asking for one change forces a focused, high-impact request. You can funnel strong ideas into a Software enhancement request form to track and assess them.

  5. How likely are you to recommend us to a friend or colleague? (0-10)

    This is your loyalty signal and creates clear promoter, passive, and detractor groups. Pair responses with the NPS Survey form for deeper follow-up and benchmarking.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel