Net Promoter Score
Please take a moment to fill out this form
How likely are you to recommend our product to a friend or colleague?
Very Unlikely
1
2
3
4
5
6
7
8
9
Very Likely
10
1 is Very Unlikely, 10 is Very Likely
What’s the primary reason for your score?
Would you buy our product again?
Yes
No
How satisfied are you with our support or communication?
1
2
3
4
5
How likely are you to continue using our product/service?
1
2
3
4
5
How often do you use our product/service?
Daily
Weekly
Monthly
Rarely
First time
How easy is it to use our product/service?
Very easy
Easy
Neutral
Difficult
Very difficult
Which feature or aspect do you find most useful?
Which feature or aspect needs the most improvement?
What can we do to improve your experience?
What is your gender?
Female
Male
Non-binary / Third gender
Prefer not to say
Prefer to self-describe
What is your age?
Younger than 18
18-25
26-35
36-45
46-55
56-65
Older than 65
What is your estimated household income range?
Less than $25,000
$25,000–$49,999
$50,000–$74,999
$75,000–$99,999
$100,000–$149,999
$150,000–$199,999
$200,000 or more
Prefer not to say
Is there anything else you’d like to share?
Email (optional, for follow-up)
example@example.com
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