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ConversationalFeedback

Customer Support Feedback

Optimize support operations with CSAT scores, response time ratings, and resolution tracking

9fields
2pages
3-4 minutes
supportcustomer servicesatisfactionquality
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uplup.com/p/904r7o71

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What's Included in This Template

9 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

Page 0
Page 1
Thank You Page

In conversational mode, each field becomes its own page for a focused experience.

"Was your issue resolved?" This template gives customers three honest answer choices: yes completely, partially, or no. That single required question separates a support team that closes tickets from one that actually fixes problems, and it anchors a form built to track CSAT scores, response time ratings, and resolution outcomes in one pass.

Nine questions that mirror the life of a support ticket

The form runs to 9 fields spread across two content pages, with an ending page to thank the customer, and takes about 3 to 4 minutes to finish. It opens with required name and email fields so every response can be matched to a real ticket, then asks the customer to classify their case with an Issue Type dropdown: Technical Issue, Billing Question, Feature Request, General Inquiry, or Other. A short required Subject line ties the feedback to a specific conversation.

The measurement block does the heavy lifting. A 5-point Support Experience rating captures the overall impression, the resolution question records whether the problem was actually solved, and a separate 5-point Response Time Satisfaction rating keeps speed and quality from blurring into one number. A fast reply that fixed nothing should not score the same as a slow reply that fixed everything. An optional Additional Details box collects the story behind the scores, and the form closes with the classic NPS question: "How likely are you to recommend us to a friend or colleague?"

Teams that read this data every Monday

Support managers use it to spot agents who resolve tickets fast but leave customers cold, or the reverse. SaaS help desks send it after ticket close to keep CSAT trends current instead of quarterly. Agencies and MSPs that run support for several clients duplicate the form per client and compare resolution rates side by side. Because respondents identify themselves by name and email, a low score is not an anonymous complaint, it is a follow-up waiting to happen.

Bend the form around your own queue

Every field is editable, so the five issue types can be swapped for the categories your help desk actually uses, and the rating questions can be reworded to match your internal CSAT language. The template is built for conversational mode, which shows one question at a time and feels less like paperwork to someone who just came out of a frustrating ticket. Add your logo and brand colors, then send the form out by direct link or QR code, embed it on your site, or drop it into a WordPress page with the Uplup plugin's shortcode.

Responses land in a dashboard with per-question breakdowns, so you can watch the resolution split or the NPS distribution without touching a spreadsheet. Export everything to CSV, or push each submission into your help desk tooling through webhooks and Zapier. And since the template is free to use, nothing stops a one-person support team from running it today.

Who Is This Template For?

This template works for a wide range of goals and industries.

Post-ticket CSAT pulse for SaaS help desks

Send the form right after a ticket closes so the Support Experience rating and resolution answer land while the interaction is still fresh, keeping your CSAT trend line current instead of relying on quarterly surveys.

Client-by-client support comparison for agencies and MSPs

Duplicate the form for each client account, then compare resolution rates and Response Time Satisfaction scores side by side to see which contracts need more support hours.

Coaching material for support managers

Because speed and outcome are rated separately, managers can identify agents who reply quickly but leave issues only partially resolved, and use the optional Additional Details comments in one-on-one coaching.

Key Features

Speed and quality rated separately

A 5-point Support Experience rating and a distinct 5-point Response Time Satisfaction rating stop a fast-but-useless reply from scoring the same as a slow fix.

Resolution tracking in one question

The required "Was your issue resolved?" radio gives three plain outcomes, yes completely, partially, or no, so you can chart your true resolution rate.

Named responses you can act on

Required name and email fields plus an Issue Type dropdown and Subject line tie every score back to a specific person and case, making follow-up on low ratings straightforward.

How It Works

1

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.

2

Customize It

Edit the fields, update the design, add your branding, and set up integrations. Everything is editable from the visual builder.

3

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

Can I change the five issue type options?
Yes. The dropdown ships with Technical Issue, Billing Question, Feature Request, General Inquiry, and Other, and the editor lets you rename those, delete them, or add categories that match how your help desk actually triages cases.
Does the form have to run in conversational mode?
No. Conversational mode is the recommended setting for this template because one question at a time feels lighter after a support interaction, but you can switch it off and present the fields on standard pages instead.
How do I get the responses into my support reporting?
Every submission shows up in Uplup's response analytics with per-question breakdowns, so the resolution split and NPS distribution are visible at a glance. You can also export all responses to CSV or forward each new submission to other tools through webhooks and Zapier.

Ready to Use This Form Template?

Customize the fields, add your branding, set up integrations, and start collecting responses today.