Cancellation Survey Form — shared by the community
Sam B. shared this 6-question build with 4 conditional rules already wired up. Test it below, then take a copy.
A ready-to-use surveys & feedback form for product, support and customer-experience teams: 6 questions, 1 page, 4 conditional rules.
- Shared by
- Sam B. · Customer success
- Questions
- 6
- Replies
- 16
- Copies taken
- 73
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Live preview and test console
This is the real form. Answer it to test the 4 conditional rules — nothing is sent or stored.
4 questions are hidden by conditional logic right now — change an answer above to reveal them.
Works for you? Take Sam B.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Cancellation Survey Form is built for product, support and customer-experience teams who need to measure satisfaction and capture the reason behind every score.
- Product, support and customer-experience teams working in surveys & feedback.
- Teams who need to measure satisfaction and capture the reason behind every score without writing code or paying for a custom build.
- Anyone replacing ratings with no context, so nothing actionable comes out of them with one structured record per enquiry.
- Respondents are customers, users and members — the form asks them 6 questions across 1 screen.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of ratings with no context, so nothing actionable comes out of them and turns each submission into a record your team can act on immediately.
- 1 question is required, so submissions arrive complete instead of needing a follow-up email.
- Conditional logic hides 4 questions until they are relevant — shorter forms convert better than long ones.
- Every response is stored, searchable and exportable, so nothing depends on one person's inbox.
How to use this template
From copy to live form is a few minutes of work, and every step is reversible.
- 1Press “Use this template” — a fresh copy of Cancellation Survey Form lands in your workspace, ready to edit.
- 2Rename or delete any question, and change what is required. Nothing here is fixed.
- 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
- 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
- 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.
Logic and conditions blueprint
Exactly how this form behaves as it is answered — 4 conditional rules ship with it.
- Features advanced show logic: if “What's the main reason you're canceling?” is Too expensive, the form dynamically exposes “Would a discount change your mind?”. Otherwise that question never appears.
- Features advanced show logic: if “What's the main reason you're canceling?” is Missing a feature I need, the form dynamically exposes “What feature was missing?”. Otherwise that question never appears.
- Features advanced show logic: if “What's the main reason you're canceling?” is Missing a feature I need, the form dynamically exposes “Notify me if this feature ships”. Otherwise that question never appears.
- Features advanced show logic: if “What's the main reason you're canceling?” is Switching to another product, the form dynamically exposes “Which product are you switching to?”. Otherwise that question never appears.
- All 4 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
What this form asks
Before you go
- What's the main reason you're canceling?required
- Would a discount change your mind?
- What feature was missing?
- Notify me if this feature ships
- Which product are you switching to?
- What would have kept you as a customer?
Conditional logic in this build
- When “What's the main reason you're canceling?” is Too expensive, show “Would a discount change your mind?”.
- When “What's the main reason you're canceling?” is Missing a feature I need, show “What feature was missing?”.
- When “What's the main reason you're canceling?” is Missing a feature I need, show “Notify me if this feature ships”.
- When “What's the main reason you're canceling?” is Switching to another product, show “Which product are you switching to?”.
Questions about this shared form
Should I require this survey before cancellation completes?
Keep it optional — forcing it adds friction at the worst possible moment and can generate complaints of its own.
How is this different from the Customer Complaint Form?
This is for someone who has already decided to leave and is exiting; the complaint form is for someone still engaged and looking for a resolution to stay.
What if the discount offer doesn't apply to my product?
Swap it for whichever retention lever fits — a plan downgrade option or a pause option both work in the same slot.
Can I use this for a one-time purchase business instead of a subscription?
Yes, though 'switching to another product' and the discount branch are most useful for recurring subscriptions specifically.
Is the Cancellation Survey Form template free to use?
Yes. You can preview and test Cancellation Survey Form on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.
What does the Cancellation Survey Form template ask for?
It asks 6 questions across 1 page, 1 of which is required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.
Can I edit the Cancellation Survey Form form after copying it?
Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the card and classic layouts, restyle it to match your brand, and set who gets notified on each submission.
How does the conditional logic in this surveys & feedback form work?
4 conditional rules ship with the template: Features advanced show logic: if “What's the main reason you're canceling?” is Too expensive, the form dynamically exposes “Would a discount change your mind?”. Otherwise that question never appears. Features advanced show logic: if “What's the main reason you're canceling?” is Missing a feature I need, the form dynamically exposes “What feature was missing?”. Otherwise that question never appears. Features advanced show logic: if “What's the main reason you're canceling?” is Missing a feature I need, the form dynamically exposes “Notify me if this feature ships”. Otherwise that question never appears. All rules are editable in the Logic tab.
Where do responses to the Cancellation Survey Form form go?
Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.
Can I embed the Cancellation Survey Form form on my own website?
Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.
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