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Customer Feedback Survey Document Template

A simple survey template to gather customer feedback on service satisfaction and areas of improvement.

Customer Feedback Survey

Please take a few minutes to complete this customer feedback survey. Your responses will help us evaluate and improve our services. We highly value your insights and appreciate your time.

Customer Information

Name: {name}

Email: {email}

Phone Number: {phone}

Date of Visit/Interaction: {dateOfVisit}

Service Evaluation

How satisfied were you with our service?

{satisfactionRating}

What did you like most about our service?

{likedMost}

What areas do you think we could improve?

{improvementAreas}

Would you recommend our service to others?

{recommendation}

Additional Comments:

{additionalComments}

Feedback on Staff Members

Staff Member Name Interaction Type Comments
{#staff}{name} {interactionType} {comments}{/staff}

Services Used

{#serviceUsed}

  • {serviceName}

{/serviceUsed}

Overall Experience

Please rate your overall experience from 1 to 5:

{overallRating}

Would you like us to follow up with you?

{followUp}

{#followUpContact}

Preferred Contact Method: {contactMethod}

Best Time to Contact: {contactTime}

{/followUpContact}

Thank you for your feedback!

This document template includes dynamic placeholders for automated document generation with Documentero.com. Word Template - Free download

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Upload the template to Documentero - Document Generation Service, then map and configure template fields for your automated workflow.

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Populate templates with your data and generate Word (DOCX) or PDF documents using data collected from shareable web Forms, APIs, or Integrations.

Use Cases

Automate Customer Feedback Survey Using Forms

create customer feedback survey form to collect service reviews online
gather client satisfaction data using shareable customer feedback form
embed feedback survey form on website to improve customer experience
collect customer service ratings via mobile-friendly feedback form
use web form to gather suggestions for service improvements

Generate Customer Feedback Survey Using APIs

trigger customer feedback survey generation after support ticket closes
auto-generate feedback form via API after live chat session ends
send personalized service survey through API after purchase completion
generate and email survey document using REST API after customer call
automatically generate feedback form when CRM record is updated via API

Integrations / Automations

send feedback survey from template using Zapier after Stripe payment
automatically create and send satisfaction survey using Make after CRM update
trigger service survey generation from Google Sheets with customer data
automate feedback collection using HubSpot to document platform integration
generate survey using Slack command integrated with document system

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