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Product Feedback Form

Gather actionable product insights with feature ratings, bug reports, and improvement priorities

11fields
2pages
4-6 minutes
productreviewfeedbackfeatures
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uplup.com/p/457472qy

Live interactive preview - try it out!

What's Included in This Template

11 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

Multi-page layout keeps your form organized and easy to complete.

Four 5-star rating scales anchor this template: Overall Satisfaction, Ease of Use, Value for Money, and Feature Quality. Around them sit a standard NPS question, a would-you-recommend check, and an open box for improvement ideas, 11 fields in total that respondents typically clear in 4 to 6 minutes. The structure is two content pages followed by an ending page, so nobody faces a wall of questions all at once.

Scores at the front, reasons close behind

The form starts by identifying who is talking: a required name, an email address, and a Product/Service dropdown so feedback lands against the right item. That dropdown ships with Product A, B, C, and Other as placeholders. From there, the four rating scales grade the product on matching 5-point scales, and a radio question asks directly whether the respondent would recommend the product, with answers running from Definitely to Probably not.

Two optional fields handle the qualitative work. A checkbox question asks which features people use most, and a textarea asks what improvements they would suggest. Keeping these optional is deliberate: required essays hurt completion, but the users who do write usually have something worth reading. The closing NPS question, how likely are you to recommend us to a friend or colleague, gives you a benchmark number to track quarter over quarter.

Reading responses like a roadmap, not a report card

Uplup's response analytics break results down per question, so you can put the four rating averages side by side. A high Ease of Use score sitting next to a low Value for Money score points at pricing, not usability. Cross-reference the most-used-features checkbox with the improvement suggestions and you can see whether complaints cluster around the features people actually rely on, which is where fixes pay off first.

When it's time to share findings, export everything to CSV, or wire up webhooks and Zapier so each new response lands in the tools your team already watches.

Swap the placeholders for your actual product line

Every field is editable. Rename the dropdown options to your real products, replace Feature 1 through Feature 5 with the ones you ship, and adjust the rating labels if your team uses different language. You can also apply your own colors and logo so the form looks like it came from you, not from a form builder.

The template runs in traditional mode by default, which suits a form this compact, though you can switch to conversational delivery that shows one question at a time. Back navigation and the progress bar are optional toggles. When it's ready, share it by link, QR code, or social post, embed it on your site, or drop it into WordPress with the Uplup plugin's shortcode. It ships on Uplup's Pro plan, and from there setup is a few minutes of renaming placeholders.

Who Is This Template For?

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

Post-launch check-ins

Send the form a few weeks after a release to see whether the new version moved satisfaction, ease of use, or perceived value, and compare the averages against your last round.

Roadmap prioritization

Pair the most-used-features checkbox with the improvement suggestions box to learn where fixes matter most to the users who actually depend on your product.

Multi-product portfolios

The Product/Service dropdown routes each response to the right item, so one form can cover your whole lineup while the ratings stay comparable across products.

Key Features

Four matching 5-point rating scales

Overall Satisfaction, Ease of Use, Value for Money, and Feature Quality are graded on the same scale, so averages line up side by side without any conversion.

Built-in NPS benchmark

A standard how-likely-are-you-to-recommend question closes the form, giving you a single trackable score alongside the detailed ratings.

Per-question analytics and export

See breakdowns for every rating, checkbox, and text answer, then export responses to CSV or push them out through webhooks and Zapier.

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 replace the placeholder products and features with my own?
Yes. The Product/Service dropdown ships with Product A, B, and C plus an Other option, and the most-used-features checkbox lists Feature 1 through Feature 5. Both are meant to be overwritten: open the editor, type in your real product names and feature list, and add or remove options as needed. The rating scales, radio question, and NPS question can all be reworded the same way.
How long does this form take respondents to complete?
About 4 to 6 minutes. Nine of the 11 fields are required, including the contact details, the four ratings, and the NPS question, while the two qualitative fields, the features checkbox and the improvement suggestions box, are optional, so people in a hurry can still finish.
Can I embed this feedback form on my own website?
Yes. Use the embed snippet on any site, or the Uplup plugin's shortcode if you run WordPress. You can also share a direct link, generate a QR code for print or packaging, or post the form to social channels, and responses from every channel land in the same analytics view.

Ready to Use This Form Template?

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