A Customer Feedback Form is a valuable tool for gathering insights and feedback from your customers, helping you improve your products or services. Here’s a template for a basic Customer Feedback Form that you can use for your small business:
Customer Feedback Form Template
[Company Name] Customer Feedback Form
Date: [Date]
Customer Information:
- Name: [Customer Name]
- Email: [Customer Email]
- Phone: [Customer Phone]
Order/Transaction Information:
- Order/Transaction Number: [Order/Transaction Number]
- Date of Purchase: [Date of Purchase]
Feedback:
Please rate your experience on a scale of 1 to 5, with 1 being the lowest and 5 being the highest.
- Product/Service Quality: (1-5)
[Rating Scale] - Customer Service: (1-5)
[Rating Scale] - Delivery/Shipping: (1-5)
[Rating Scale] - Website/Online Experience: (1-5)
[Rating Scale]
Comments and Suggestions:
Please share your thoughts, comments, or suggestions regarding your experience with us. Your feedback is invaluable in helping us improve.
[Open Text Box]
Would You Recommend Us?
- [ ] Yes
- [ ] No
Additional Feedback:
Is there anything else you’d like to add or any specific aspects of your experience you’d like to highlight?
[Open Text Box]
Consent for Testimonial:
- [ ] Yes, I consent to having my feedback used as a testimonial.
- [ ] No, I do not wish for my feedback to be used as a testimonial.
Contact Preference:
If you would like us to follow up with you regarding your feedback, please select your preferred method of contact:
- [ ] Phone
- [ ] No follow-up needed
Submit Your Feedback:
[Submit Button]
Notes:
- Customize the form with your company’s name and logo.
- Adjust the rating scales and questions based on your specific business and industry.
- Provide an option for customers to share their comments, suggestions, and testimonials.
- Ensure that the form is user-friendly and mobile-responsive for ease of use.
- Include a mechanism for securely storing and analyzing the feedback received.