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Customer Feedback Form

Free customer feedback form template for collecting structured ratings and comments after a purchase, service, or support interaction.

This free customer feedback form covers 1. Customer Information (Optional), 2. Overall Experience, 3. Specific Ratings, 4. What Did We Do Well?, 5. What Could We Improve? with 8 clearly marked [placeholder] fields to fill in — built for founders, freelancers, and small business owners formalizing a business decision or agreement without paying a lawyer to draft it from scratch. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.

Template — click to edit

Customer Feedback Form

Business: [Company Name] · Date: [Date] · Order/Service Reference: [Reference No., if applicable]

1. Customer Information (Optional)

Name: [Name] · Email: [Email] · Phone: [Phone]

2. Overall Experience

How would you rate your overall experience? [ ] Excellent [ ] Good [ ] Average [ ] Poor [ ] Very Poor

3. Specific Ratings

CategoryExcellentGoodAveragePoor
Product/Service Quality[ ][ ][ ][ ]
Staff Helpfulness[ ][ ][ ][ ]
Timeliness[ ][ ][ ][ ]
Value for Money[ ][ ][ ][ ]

4. What Did We Do Well?

[Open comment field.]

5. What Could We Improve?

[Open comment field.]

6. Likelihood to Recommend

On a scale of 0-10, how likely are you to recommend us to a friend or colleague? [Score: ___ /10]

7. May We Contact You About This Feedback?

[ ] Yes [ ] No

Thank you for taking the time to share your feedback.

*This document is provided as a general template. Adjust the questions and rating scale to match what matters most for your business.*

docstoc.io

Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.

What's included

Who this template is for

Freelancers & solo founders

Handling routine business paperwork without commissioning custom legal drafting for every document.

Small businesses

Standardizing recurring documents — leases, agreements, notices — across a growing operation.

Anyone reviewing before signing

Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.

Early-stage businesses

Getting the basics documented before things get more complex.

FAQ

Is this customer feedback form template really free?

Yes. Like every template in docstoc's library, this customer feedback form is free to use, with no account or signup needed to view, edit, or download it.

What does this customer feedback form cover?

This business template includes 1. Customer Information (Optional), 2. Overall Experience, 3. Specific Ratings, 4. What Did We Do Well?. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.

Is this legal advice?

No. This is a general-purpose starting structure, not advice for your specific situation. Business agreements can hinge on details — state of formation, industry-specific regulation, how a dispute would actually play out — that a template can't account for. Have a business attorney review anything that involves real money or real risk before you rely on it.

Can I edit the wording?

Yes — edit directly on the page, adjust any section or clause, and re-fill the 8 placeholder fields to match your situation before downloading a PDF. It's a starting structure, not a rigid script.

Where can I find more free templates like this?

Browse more free business and related document templates in the docstoc library at /document-templates/.

More free document templates

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Templates are drafted for general use, not a substitute for legal advice — check the note on each page for specifics.

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Speed

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