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Feedback Free template

Customer feedback form template

Collect structured feedback from customers about a product or service: ratings on the parts that matter, what to keep, what to fix.

  • 10 questions
  • about 2 min
  • Works on Free
  • Logic
  • Endings
  • File upload
  • Hidden fields
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  • No sign-up to start
  • Unlimited responses on Free
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Question 1 of 7

Overall, how was your experience with us?*

PoorExcellent

What’s inside the customer feedback form template

This customer feedback form template turns a vague "how did we go?" into answers you can act on. Customers rate the experience overall and on quality, value, communication and speed, then tell you what to keep and what to fix. Happy customers finish on a button to leave a review.

Change any question, theme or ending in the Pulseware survey maker, then share it by link, QR code or embed.

  • 3 questions only appear when an earlier answer calls for them.
  • A logic rule skips ahead or ends early, based on the answers.
  • 2 thank-you screens, picked by the answers: “Thank you, that means a lot”, “Thanks for your feedback”.
  • Hidden fields filled from the link: customer_id, order_or_job_id, channel.
  1. 1 Rating: Overall, how was your experience with us?
  2. 2 Matrix / Likert: How would you rate us on…
  3. 3 Long answer: What did we do well? (optional)
  4. 4 Long answer: What should we do better? (when needed)
  5. 5 Long answer: Anything we could do to make it even better? (optional) (when needed)
  6. 6 NPS: How likely are you to recommend us to a friend? (optional)
  7. 7 Single choice: How did you find us? (optional)
  8. 8 File upload: Want to show us something? Add a screenshot or photo. (optional)
  9. 9 Yes / No: Can we contact you about your feedback? (optional)
  10. 10 Email: Your email (when needed)

Why this template works

  • Low scores must explain what went wrong; high scores are invited to say more.
  • A review button appears only for customers who would recommend you.
  • Hidden fields tie feedback to the order or job without asking again.

Works with

Connect these after you publish, from the Connect tab.

  • Slack Post new feedback to a #feedback channel
  • Google Sheets Keep every response in a sheet
  • Notion Build a feedback database
  • Partial responses and drop-off insights Pro
  • Uploads over 10 MB Pro On Free: up to 10 MB per file.

Questions about this template

Is there a printable version?

Pulseware forms are online, which saves re-typing answers. If you need paper, share the QR code on a printed card that opens the form on a phone.

What is the difference between this and a CSAT survey?

CSAT measures satisfaction with one score. This form also rates specific parts of the experience and collects comments and reviews.

Building something else? Try the customer feedback survey maker.

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Edit it straight away with no account. You only confirm your email when you publish.

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