Customer Satisfaction Survey
Measure customer loyalty with NPS scoring, star ratings, and open feedback to boost retention
Live interactive preview - try it out!
What's Included in This Template
8 Fields
Pre-configured fields with the right input types, validation, and layout for feedback.
Full Customization
Change colors, fonts, add your logo, rearrange fields, and make it match your brand perfectly.
42+ Integrations
Connect with Mailchimp, HubSpot, Zapier, n8n, Google Sheets, Slack, and more. Automate your workflow.
Form Structure
In conversational mode, each field becomes its own page for a focused experience.
You run support, own a renewal target, or carry the word experience somewhere in your job title. Either way, the survey itself is not the deliverable. The decisions that come out of it are. This customer satisfaction survey template is built around that reality: 8 fields, three pages, 3 to 5 minutes of a customer's time, and nothing that exists just to make the report look fuller.
It runs in Uplup's conversational mode by default, one question on screen at a time, which reads more like a quick chat than a tax form. Customers see a cover page, two short content pages, and a thank-you ending. The template is available on Uplup's free plan, so it can be live the same afternoon you find this page.
Short enough to finish, sharp enough to use
The survey collects a name and email first, so every response is attached to a real person you can follow up with. Then it gets to the measurement. The anchor is the standard NPS question, "How likely are you to recommend us to a friend or colleague?", answered on the familiar 0 to 10 scale. Two five-star ratings sit alongside it, "Overall Experience" and "Quality of Service", plus a five-point multiple choice that asks "How satisfied are you?" with options running from "Very satisfied" down to "Very dissatisfied".
The open text comes last, and both prompts are optional: "What did we do well?" and "How can we improve?". Keeping them optional is deliberate. Customers with something to say will say it, and everyone else can finish quickly instead of abandoning the survey at a required essay box.
Reading the results without fooling yourself
Uplup gives you per-question breakdowns, so you can see the distribution behind every average. That matters more than it sounds. A 3.8 star average on "Quality of Service" can mean a crowd of contented fours, or a standoff between fives and ones. Only the second case is urgent, and only the distribution reveals it.
For the NPS question, resist the urge to celebrate the number itself. Look at who the low scorers are, read their open comments, and reply to them personally. Because the template captures email up front, closing the loop takes minutes, and it is the single act most likely to turn a critic around.
When you want the data somewhere else, export everything to CSV, or push responses out through webhooks and Zapier the moment they arrive. A useful setup: route any response with a low recommendation score straight into your support queue so nobody waits a week for a human reply.
Teams that live off this survey
Support teams send it after tickets close and watch "Quality of Service" as their operational pulse. SaaS teams trigger it a few weeks after onboarding, once the honeymoon has worn off and the answers get honest. Agencies and consultancies attach it to project wrap-ups, where a strong response doubles as a testimonial lead. Ecommerce brands send it post-delivery, restaurants and clinics use it as a standing follow-up, and account managers run it quarterly as an early warning system for renewals.
Shaping it to your product
Every field is editable. Rename "Quality of Service" to "Support Quality" or "Delivery Experience", rewrite the satisfaction options in your own voice, or add a question about the specific thing you shipped last month. You can change rating scales, reorder questions, and delete anything that does not earn its place.
The presentation is yours too: your logo, your colors, a progress bar if you want one, and back navigation so people can revise an answer. Share the survey as a direct link, a QR code on packaging or receipts, or a social post. Embed it on your site with a snippet, or drop it into WordPress with the Uplup plugin's shortcode.
Asking so customers answer straight
Good survey data is mostly a product of how you ask. Send the survey close to the interaction, while the memory is still specific. A survey about a ticket resolved three weeks ago collects fiction, politely worded. And never coach the answer. The moment you write "we'd love a 10", you are measuring your customers' politeness rather than their satisfaction.
Watch your frequency too. Uplup's retake settings let you control repeat submissions, but the bigger risk is oversurveying. Ask the same customer every week and by the fourth week you are sampling only the people who enjoy filling out forms.
Finally, be honest about the trade you are making with named responses. Collecting name and email lets you follow up, which is usually worth it, but people tend to rate a little kinder when they sign their names. If blunt answers matter more to you than follow-up ability, make those first two fields optional and let each customer choose.
That is the whole philosophy of this template: ask less, ask fairly, and treat every response as the start of a conversation instead of a row in a spreadsheet.
Who Is This Template For?
This template works for a wide range of goals and industries.
Post-ticket support follow-up
Trigger the survey when a support ticket closes. The "Quality of Service" rating and the resolution comments give support leads a per-agent, per-week pulse without a separate QA process.
Post-purchase and post-delivery check-in
Send it a few days after delivery, when the customer has actually used what they bought. A QR code on the packing slip or receipt turns the physical product into the distribution channel.
SaaS onboarding checkpoint
Fire the survey a few weeks after signup, once early enthusiasm has settled. The NPS question plus "How can we improve?" surfaces churn risk while there is still time to act on it.
Agency project wrap-up
Attach it to the final invoice or handoff email. Strong responses become testimonial leads you can follow up on by email, and weak ones tell you which part of delivery to fix before the next engagement.
Quarterly account health check
Account managers run it on a schedule as an early warning system for renewals, comparing each client's scores against their own previous quarter rather than against a vanity average.
Key Features
8 fields in 3 to 5 minutes
Name and email fields, one NPS question, two five-star ratings, a five-point satisfaction scale, and two optional open prompts, spread across three pages. Short enough that customers actually reach the end.
Conversational mode by default
Questions appear one at a time with a progress bar and back navigation, so the survey feels like a quick exchange instead of a wall of inputs.
NPS and star ratings built in
The 0 to 10 recommendation scale and 5-star rating fields come preconfigured. No formulas to set up, and every scale is editable if you want something different.
Per-question analytics and CSV export
See the score distribution behind every average, drill into individual responses, and export the full dataset to CSV whenever you need it in a spreadsheet.
Webhooks and Zapier
Push responses to your other tools the moment they arrive, for example routing low recommendation scores straight into your support queue.
Your brand, everywhere you share it
Add your logo and colors, then distribute by direct link, QR code, social post, an embed snippet on your site, or a WordPress shortcode via the Uplup plugin.
How It Works
Choose This Template
Click "Use This Template Free" to get started. You will get a full copy of this form in your account, ready to edit.
Customize It
Edit the fields, update the design, add your branding, and set up integrations. Everything is editable from the visual builder.
Share & Collect Responses
Publish your form and share it with a link, embed it on your website, or post it on social media. View responses in real time.
Frequently Asked Questions
Is the customer satisfaction survey template free to use?
What should a customer satisfaction survey include?
How long should a customer satisfaction survey be?
How do I analyze customer satisfaction survey data?
Can I change the questions in this template?
How do I send a customer satisfaction survey to customers?
Related Templates
Explore more form templates you might like.
Customer Support Feedback
Optimize support operations with CSAT scores, response time ratings, and resolution tracking
FeedbackProduct Feedback Form
Gather actionable product insights with feature ratings, bug reports, and improvement priorities
FeedbackEvent Feedback Survey
Capture post-event insights with session ratings, speaker feedback, and net promoter scoring
FeedbackHotel Guest Satisfaction Survey
Boost guest loyalty with comprehensive stay feedback on rooms, amenities, and staff service
FeedbackReady to Use This Form Template?
Customize the fields, add your branding, set up integrations, and start collecting responses today.
