Free Sample Questionnaire Template

Sample Questionnaire

Please fill out the following information for our records. Your input is valuable to us.

Date

Please select the date you are filling out this form.

    Email

    Please provide a valid email address for further communications.

      How satisfied are you with the product/service?

      Rate your satisfaction level from 1 (not satisfied) to 10 (very satisfied).

        How did you hear about us?

        Please select the option that best describes how you heard about us.

          Social MediaWebsiteWord of MouthFamily/FriendOthers

          Suggested Changes/Improvements

          We welcome your suggestions for improving our product/service.

            Related File/Document

            Upload any related file or document, if applicable.

              What feature is the most beneficial to you?

              Choose the feature you find most beneficial from the options below.

                PriceQualitySupportEase of UseFeatures

                Would you recommend us to others?

                Please indicate whether you would recommend our product/service to others.

                  YesNoMaybe

                  Please share any additional comments or questions.

                  Your feedback is important to us! Share any further comments or concerns.