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Customer Feedback Form

Gather customer feedback on their store visit — satisfaction, what worked and any issues — so you keep shoppers coming back.

Description

A customer feedback form gives shoppers an easy way to tell you how their visit went, and gives you the insight to keep them coming back. In retail, where a single bad experience sends customers to a competitor, capturing satisfaction and any issues — while they’re fresh — is how you fix problems before they cost you loyalty.

It measures overall satisfaction and likelihood to recommend, and asks what you did well and what you could do better. Whether they hit any issues during their visit with room to explain, which store they visited, and optional email with permission let you follow up and pinpoint where to improve.

Customize the questions and stores to match your business, restyle it in your brand colors, and embed it on your site or a receipt QR code so feedback arrives fresh.

Form fields

Everything the Customer Feedback Form above collects — 10 fields, so you can see exactly what it captures before you make it your own.

We value your feedback

  • Overall Satisfaction

    Short Answer Icon
    Short Answer
  • How likely are you to recommend us?

    Scale Icon
    Scale
  • What did we do well?

    Long Answer Icon
    Long Answer
  • What could we do better?

    Long Answer Icon
    Long Answer
  • Did you experience any issues during your visit?

    Yes/No Icon
    Yes/No
  • Tell us more about the issue:

    Long Answer Icon
    Long Answer
  • Which store did you visit?

    Short Answer Icon
    Short Answer
  • Please specify store:

    Short Answer Icon
    Short Answer
  • Your Email (optional)

    Email Icon
    Email
  • Permission

    Multi-Select Icon
    Multi-Select
Use Template Arrow Right Icon

Template FAQs

Common questions about the Customer Feedback Form — what it captures, when to use it, and how to make it your own.

What is a customer feedback form?

It’s a form shoppers use to share how their store visit went. It captures satisfaction, what worked and any issues, so retailers learn what keeps customers happy and what to fix — straight from the people whose loyalty decides whether the business thrives.

What does the form capture?

Overall satisfaction and likelihood to recommend, what you did well and what you could do better, and whether they had any issues with room to explain. Which store they visited and optional email with permission complete the feedback.

When should you collect it?

Soon after a visit, while it’s fresh — a receipt QR code or a follow-up email works well. Prompt feedback gives an accurate read, catches a bad experience before it becomes a lost customer or a public review, and shows shoppers their opinion counts.

Who is this form for?

Retailers, store managers and multi-site chains that want to measure and improve the shopping experience, and the customers sharing it. It suits any business that knows a good experience drives repeat visits and wants honest feedback it can act on store by store.

Why ask which store they visited?

In a chain, feedback is only useful if you know where it came from. Capturing the store lets you spot which locations are excelling and which are slipping, so you can act precisely — praising a strong team or supporting one that’s struggling — rather than seeing an average.

Is this feedback form free to use?

Yes, it’s free. Create a Fun Forms account, customize the questions and stores to match your business, restyle it to your brand colors, and embed it on your website or a receipt QR code with no coding. Responses then collect in one place, ready to act on.