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Sample Survey Form Template

Create engaging surveys to gather valuable feedback

Struggling to gather meaningful feedback from your audience? This sample survey form template is designed to help you easily collect insights from customers, students, or team members. With this customizable template, you can quickly create surveys tailored to your needs, ensuring higher response rates and valuable data, simplify the process of embedding or sharing with others, make data collection efficient, and improve your decision-making based on real feedback. Explore how you can use this live template today!

Use this Template (FREE) Live Preview
Full name
Email address
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Which sample did you try?
Where did you get the sample?
In-store event
Mailed to me
With an online order
From a friend or family member
At a tradeshow
Other/Not listed
When did you try the sample?
Was the sample size sufficient for evaluation?
Too small
About right
Too large
Not applicable
Overall, how satisfied were you with the sample?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How would you rate the product quality?
Poor
Below average
Average
Good
Exceptional
How easy was it to use or try the sample?
Very difficult
Difficult
Somewhat difficult
Neither
Somewhat easy
Easy
Very easy
What was the condition of the packaging?
Poor
Below average
Average
Good
Exceptional
Did you experience any issues with the sample?
Yes
No
Which aspects did you value most? (Select all that apply)
How likely are you to purchase the full-size product?
0 Not at all likely
1
2
3
4
5 Extremely likely
Would you consider purchasing within the next 30 days?
Yes
No
Where would you prefer to purchase this product?
May we contact you for a brief follow-up about your experience?
Yes
No
Any additional comments or suggestions?
Do you consent to us using your feedback anonymously in marketing materials?
Yes
No
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Email address, What is your age?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a sample survey form for FormCreatorAI article

When to use this form

Use it when you need quick, structured feedback without overbuilding. Launching a new feature? Send it to beta users after their first session. Hosting a workshop? Collect ratings and comments before people leave. Your HR team can run a monthly pulse to catch issues early. You can pair it with the Personality research form to compare attitudes with behaviors. If you must segment results by earnings for pricing or equity reports, add the Income survey form. The outcome: clear priorities you can act on this week, not a bloated spreadsheet you ignore later.

Must Ask Sample Survey Questions

  1. What is the main reason you completed this survey today?

    This clarifies user intent, so you can align your next actions with what matters most. It also helps you separate bug reports, product research, and satisfaction feedback into distinct workstreams.

  2. How satisfied are you with [product/service/event] overall? (1-5 scale)

    A simple scale gives you a baseline you can trend over time and compare across segments. A consistent layout, like the Bootstrap form, reduces confusion and keeps scores reliable.

  3. Which feature or section was most valuable, and why?

    This surfaces the value drivers you should protect and promote. The follow-up "why" supplies language you can reuse in messaging and onboarding.

  4. What was the hardest part to understand or use?

    This reveals friction points that block completion or cause churn. You can test revised wording against the Demo questions and answers form to confirm that changes improve clarity.

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

    NPS gives you a clear benchmark and a way to track loyalty over time. Segment by role, plan, or cohort to spot where promoters and detractors differ.

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