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Customer Feedback Form Document Template

Simple form to collect reviews and feedback from customers about their shopping experience.

Customer Feedback Form

This form is designed to collect valuable feedback from our customers about their shopping experiences. Your insights help us improve our products, services, and overall customer satisfaction.

Customer Information

Name: {name}

Email: {email}

Phone Number: {phone}

Date of Visit: {visitDate}

Store/Location: {storeLocation}

Shopping Experience

Was the store clean and organized? {storeCleanliness}

Were you able to find what you were looking for? {productAvailability}

How would you rate the quality of customer service? {customerServiceRating}

Comments regarding the staff:

{staffComments}

Products & Services

Which products did you purchase?

{#products}

  • {productName}

{/products}

Comments on product quality:

{productFeedback}

Suggestions & Overall Experience

What did you like most about your experience?

{positiveExperience}

Any areas for improvement?

{improvementSuggestions}

Would you recommend us to others? {recommendation}

Additional Feedback

{#hasAdditionalFeedback}Additional Feedback: {additionalFeedback}{/hasAdditionalFeedback}

{^hasAdditionalFeedback}No additional feedback provided.{/hasAdditionalFeedback}

Optional: Employees Mentioned for Recognition

Employee Name Department Comment
{#employeesMentioned}{employeeName}{department}{comment}{/employeesMentioned}

Thank you for taking the time to provide your feedback. Your opinion is important to us!

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

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Use Cases

Automate Customer Feedback Form Using Forms

collect customer feedback after online purchase via embedded form
capture in-store shopping experience using mobile-friendly feedback form
gather product reviews through personalized feedback forms
get post-delivery customer satisfaction input via shareable form link
create multilingual customer feedback form for international shoppers

Generate Customer Feedback Form Using APIs

auto-generate customer feedback form after e-commerce order completed
trigger feedback form generation when support ticket is closed
generate personalized review forms based on customer purchase history
send automated feedback request when user unsubscribes from newsletter
create feedback form after refund request via API integration

Integrations / Automations

send feedback form automatically after Shopify order using Zapier
trigger feedback form generation from Salesforce CRM with Make
automatically email customer feedback form after Stripe payment
connect Typeform to generate branded customer review form in real time
send personalized feedback form in Slack after support chat ends

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