Agent002Forms
Log in

Templates

Feedback survey template

How happy people are, what went well and what to improve. Anonymous unless people choose to leave their email for a follow-up.

7 questions, 2 shown only when they apply. Question types: consent box, email, long answer, one choice, yes or no.

Free on every plan. Change any question, option or text before you publish.

Before you publish

  • Replace “us” with the name of your shop, clinic or team.
  • Print the QR code on receipts, tables or a poster.
  • Read the results in the Summary tab, or in a Google Sheet.
  • Link your privacy notice in Settings, or say how you use the answers in the description. Recommended for businesses.

Made for

Customer feedback surveys people answer honestly: how it works, what to watch for, and common questions.

Feedback survey

Two minutes of your time helps us get better. Your answers are anonymous unless you leave your email.

Overall, how happy are you with us?*Very happyHappyIt's okayUnhappyVery unhappy
What did we do well?
What should we do better?
Would you recommend us to a friend?YesNo
May we contact you about your answers?YesNo
Shown when “May we contact you about your answers?” is YesYour email*
Shown when “May we contact you about your answers?” is YesI agree that my email is used to follow up on this feedback, as described in the privacy notice.*
A preview of the questions. The live form uses the theme you pick, works on phones and with screen readers, and sets no cookies.

Make your first form in five minutes

Free for personal use. Businesses get 14 days of Starter, no card needed.

Start free