Use this when

A job, order, appointment, or support interaction is complete and you want useful customer feedback.

Then

Route urgent issues to a responsible owner and turn positive feedback into a testimonial request when appropriate.

Review before sharing

Check names, dates, totals, and scope. Use a secure system for sensitive details that do not belong in a simple form.

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Live document preview1.0.0

Your business

Customer Feedback & Satisfaction Form

1.0.0

Your completed fields will appear here. Load the example to see a finished document.

Agent-readable document text

CUSTOMER FEEDBACK & SATISFACTION FORM
Document version 1.0.0


Created with FreeBusinessForms.com

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Template notes

Practical review notes

This template helps create a consistent business record from the information you provide. Review it for accuracy, keep the supporting approval or receipt with the finished file, and use qualified advice when legal, tax, payroll, regulated, or location-specific requirements matter.

Good practice

Use a consistent document number.
Keep the source approval or receipt with the form.
Review names, dates, totals, and scope before sending.

Machine access

Agents can inspect and validate the same versioned fields used here.

View JSON Schema →

Inspect JSON Schema

{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://freebusinessforms.com/schemas/customer-feedback-form.json",
  "title": "Customer Feedback & Satisfaction Form",
  "description": "Gather structured feedback, satisfaction ratings, testimonials, improvement requests, and follow-up permission.",
  "type": "object",
  "additionalProperties": false,
  "properties": {
    "business_name": {
      "title": "Business name",
      "type": "string"
    },
    "customer_name": {
      "title": "Customer name",
      "type": "string"
    },
    "customer_email": {
      "title": "Customer email",
      "type": "string",
      "format": "email"
    },
    "related_order_or_job": {
      "title": "Related order, job, or invoice",
      "type": "string"
    },
    "feedback_date": {
      "title": "Feedback date",
      "type": "string",
      "format": "date"
    },
    "overall_rating": {
      "title": "Overall rating",
      "type": "string",
      "enum": [
        "5 - Excellent",
        "4 - Good",
        "3 - Okay",
        "2 - Poor",
        "1 - Very poor"
      ]
    },
    "what_worked": {
      "title": "What worked well?",
      "type": "string"
    },
    "what_to_improve": {
      "title": "What could be improved?",
      "type": "string"
    },
    "may_contact": {
      "title": "May we follow up?",
      "type": "string",
      "enum": [
        "Yes",
        "No"
      ]
    },
    "testimonial_permission": {
      "title": "May we request testimonial permission?",
      "type": "string",
      "enum": [
        "Yes",
        "No",
        "Ask later"
      ]
    },
    "internal_owner": {
      "title": "Internal owner",
      "type": "string"
    }
  },
  "required": [
    "business_name"
  ],
  "x-form-version": "1.0.0"
}