Customer Churn Risk Assessment Form
Please complete the Customer Churn Risk Assessment Form to help us understand your experience and identify areas for improvement.
How satisfied are you with our product overall?
*
1
2
3
4
5
How likely are you to continue using our service over the next 12 months?
*
Not at all likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not at all likely, 10 is Extremely likely
How well does our product meet your business needs?
*
Extremely well
Very well
Somewhat well
Not so well
Not at all well
How would you rate your recent customer support experience?
*
1
2
3
4
5
How frequently do you use our product?
*
Daily
A few times a week
Once a week
A few times a month
Rarely
How satisfied are you with the features and functionality offered?
*
1
2
3
4
5
Have you considered switching to a competitor in the past 6 months?
*
Yes
No
Not sure
How effective was the onboarding process when you first started using our product?
*
Very ineffective
1
2
3
4
Very effective
5
1 is Very ineffective, 5 is Very effective
How would you rate the quality of communication from our team?
*
1
2
3
4
5
How would you describe your overall relationship with our company?
*
Excellent
Good
Fair
Poor
Submit Assessment
Should be Empty: