Customer Exit Feedback Survey
We value your feedback. Please help us improve by sharing your experience and reasons for leaving.
Would you like to provide your name? (Optional)
First Name
Last Name
What is the main reason you are leaving our service or business?
*
Found a better alternative
Product/service did not meet my needs
Price/cost issues
Customer service issues
Moving/relocation
No longer need the service/product
Other
How long have you been our customer?
*
Please Select
Less than 1 month
1-6 months
6-12 months
1-2 years
More than 2 years
Please rate your satisfaction with the following aspects:
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Product/Service Quality
1
2
3
4
5
Customer Support
6
7
8
9
10
Value for Money
11
12
13
14
15
Ease of Use
16
17
18
19
20
Overall Experience
21
22
23
24
25
How likely are you to recommend us to others?
*
Not at all likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not at all likely, 10 is Extremely likely
Which of the following best describes how you used our product or service?
*
Personal use
Business use
One-time project
Ongoing subscription
Other
What could we have done differently to keep you as a customer?
*
Would you consider returning to our business in the future?
*
Yes
No
Not sure
How did you first hear about us?
Please Select
Online search
Social media
Friend/family referral
Advertisement
Event or in-person
Other
Would you like to be contacted to discuss your feedback further?
*
Yes, please contact me
No, I do not wish to be contacted
If yes, please provide your preferred contact method:
Any additional comments or suggestions?
Submit Feedback
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