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Satisfaction survey template

We're sorry to see you go

A ready-to-use satisfaction survey template with 10 questions already written and tested. Open it, brand it as your own and launch in minutes. Free to start, no card required.

10 questions · ~2 min

Use this templateSee the product

Satisfaction surveys measure how the people who already bought or used you actually feel: where you exceed expectations and where you lose customers. Send it right after the experience, while the memory is fresh, and pair the score with an open comment to learn not just how much, but why.

What respondents see

Before you leave, help us understand what happened. It only takes a minute and it really matters to us.

What this template asks

  1. Single choiceWhat's the main reason you're cancelling?
    • The price is too high
    • I wasn't using it enough
    • It was missing features I need
    • Technical or reliability issues
    • Poor customer support experience
    • I'm switching to another alternative
    • I no longer need it
  2. Open textWhich feature was missing? Knowing this helps us prioritize.
  3. Open textWhich alternative are you switching to, and what does it offer that we don't?
  4. ScaleYou indicated "{{P1}}" as your reason. Overall, how satisfied have you been with us?

    Very dissatisfied 1–5 Very satisfied

  5. Open textWhat could we have done to keep you?
  6. ScaleHow likely are you to become a customer again in the future?

    Not at all likely 0–10 Very likely

  7. ScaleEven though you're leaving, would you recommend us to someone?

    Not at all likely 0–10 Very likely

  8. Yes / NoWould you like us to contact you with an offer to stay?
    • Yes, I'm interested
    • No, thanks
  9. EmailLeave us your email and we'll send you the offer
  10. Open textWould you like to add anything before you go?

Frequently asked questions

What is a satisfaction survey template?
It is a pre-built satisfaction survey questionnaire with 10 ready-to-send questions. Use it as-is or adapt it to your case in Camaleonic Survey's visual editor.
Is it free?
Yes. You can create an account and use this template for free, no card required. Paid plans add advanced analytics, live results and more.
Can I customize it?
Completely. Change questions, logic, typography and color so the survey looks like your brand, not a generic form.

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