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A READY-TO-MAKE-YOURS SURVEY

Customer loss survey template

Learn from customers who have left with this customer loss survey template. Ask what changed, what was missing, and whether another option better matched their needs.

Read the template guide
Use this template Free to customize. No code needed.

THE REAL THING. GO AHEAD, TRY IT.

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A LITTLE GUIDANCE

Make the most
of your next ask.

Questions to consider for your customer loss survey

Use these questions as suggestions when editing your copy. Keep the ones that fit your purpose and add any details your process needs.

  • What led you to stop buying from us?
  • Was there a problem we did not resolve?
  • What would you like us to understand about your decision?

How to use the responses

Look for recurring causes and distinguish service problems from changes in the customer's circumstances. Share actionable themes with the people responsible for the experience.

How to customize and share this template

  1. Write down the decision the research should inform and define who can give relevant answers.
  2. Adapt the questions to the audience. Ask one thing at a time, use balanced choices, and offer a suitable way to say that a question does not apply.
  3. Try the survey with a small relevant group, fix confusing wording, and decide how you will review responses before sharing it more widely.

Make it yours with Youform

Choose the right question format

Combine choices, ratings, and open text to collect comparable answers and learn what you did not think to ask.

Adapt the research path

Use conditional logic to skip follow-ups that do not apply to a respondent's experience or earlier answer.

Work with your results

Review responses in Youform or connect Google Sheets to organize and analyze the answers using your own method.

Start free with unlimited forms and responses, subject to fair use. See Youform plans and features for the details.

Frequently asked questions

Should a customer loss survey try to win the person back?
Its first job is to understand the decision. Offer further contact only when appropriate and avoid turning every answer into pressure to return.
Can I customize this survey template?
Yes. Choose Use this template to make your own copy in Youform. Edit the questions and colors, review the whole flow, then share a link or embed it on your website. See Youform plans for advanced features.
How do I avoid leading survey questions?
Ask about one topic at a time, use neutral wording, and avoid describing the answer you hope to receive. Balanced options and an appropriate not-applicable choice help respondents answer more accurately.
How many responses do I need for useful research?
It depends on the decision, the audience, and how participants are selected. A small group can reveal issues worth exploring, but it does not establish what a whole market thinks. Decide what conclusions your sample can support before reporting them.

A FEW MORE POSSIBILITIES

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