Customer Leave Survey Template

We are sorry to see you leave. We would greatly appreciate your feedback to help us enhance our service provided. Please take a few moments to complete this short survey.
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1.
What was the main reasons for you choose our product/service?
[Checkboxes]
Product quality
Brand value
Price
Promotion
Customer service
Word of mouth
Other (please specify)
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2.
What was the main reasons for your decision to stop using our product/service?
[Checkboxes]
Found a better alternative
Cost
Poor customer service
Quality of product/service
Other (please specify)
*
3.
How long were you a customer of our product/service?
Less than 6 months
6 months to 1 year
1 year to 2 years
Over 2 years
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4.

Please rate your level of satisfaction with the following areas of our product/service on a scale from 1 to 5.

Very dissatisfied234Very satisfied
Quality
Price
Delivery time
Customer service
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5.
What can we do to win back your business?
[Checkboxes]
Lower cost
Improve quality
Improve customer service
Other (please specify)
I will not consider switching back to your business
6.
We greatly value your feedback. Do you have any suggestions or ideas for us to consider?
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