Customer Churn Survey — shared by the community
Marta K. shared this 9-question build with 3 conditional rules already wired up. Test it below, then take a copy.
A ready-to-use technology, saas & dev form for engineering, IT and product teams: 9 questions, 1 page, 3 conditional rules.
- Shared by
- Marta K. · Practice manager
- Questions
- 9
- Replies
- 21
- Copies taken
- 522
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Live preview and test console
This is the real form. Answer it to test the 2 conditional rules — nothing is sent or stored.
2 questions are hidden by conditional logic right now — change an answer above to reveal them.
Works for you? Take Marta K.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Customer Churn Survey is built for engineering, IT and product teams who need to route technical requests with the context needed to triage them.
- Engineering, IT and product teams working in technology, saas & dev.
- Teams who need to route technical requests with the context needed to triage them without writing code or paying for a custom build.
- Anyone replacing vague reports that can't be reproduced or prioritised with one structured record per enquiry.
- Respondents are users, testers and internal stakeholders — the form asks them 9 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 vague reports that can't be reproduced or prioritised and turns each submission into a record your team can act on immediately.
- 4 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It scores satisfaction on a consistent scale.
- Conditional logic hides 3 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 Customer Churn Survey 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 — 3 conditional rules ship with it.
- Features advanced show logic: if “Primary reason for leaving” is Too expensive, the form dynamically exposes “Would a discount change your mind?”. Otherwise that question never appears.
- Features conditional validation: if “Primary reason for leaving” is Missing features, “Which features were missing?” becomes mandatory before the form can be sent.
- Features advanced show logic: if “Primary reason for leaving” is Switching to a competitor, the form dynamically exposes “Which product are you moving to?”. Otherwise that question never appears.
- All 3 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
- How long were you a customer?required
- Primary reason for leavingrequired
- Would a discount change your mind?
- Which features were missing?
- Which product are you moving to?
- Overall experiencerequired
- What could we have done differently?
- Would you consider returning?required
- What would bring you back?
Conditional logic in this build
- When “Primary reason for leaving” is Too expensive, show “Would a discount change your mind?”.
- When “Primary reason for leaving” is Missing features, require “Which features were missing?”.
- When “Primary reason for leaving” is Switching to a competitor, show “Which product are you moving to?”.
Questions about this shared form
Does a discount offer work?
For price-driven cancellations it saves a meaningful share. For unmet needs it delays the same outcome by a month.
How many questions is too many?
Beyond about eight, completion drops sharply. Six well-branched questions outperform a long form.
Should sales see these responses?
Yes, especially the competitor answers — they are the most current competitive intelligence you have.
What pairs with this?
The Feature Request Form, so a missing-feature cancellation becomes a tracked backlog item rather than a lost note.
Is the Customer Churn Survey template free to use?
Yes. You can preview and test Customer Churn Survey 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 Customer Churn Survey template ask for?
It asks 9 questions across 1 page, 4 of which are 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 Customer Churn Survey 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 technology, saas & dev form work?
3 conditional rules ship with the template: Features advanced show logic: if “Primary reason for leaving” is Too expensive, the form dynamically exposes “Would a discount change your mind?”. Otherwise that question never appears. Features conditional validation: if “Primary reason for leaving” is Missing features, “Which features were missing?” becomes mandatory before the form can be sent. Features advanced show logic: if “Primary reason for leaving” is Switching to a competitor, the form dynamically exposes “Which product are you moving to?”. Otherwise that question never appears. All rules are editable in the Logic tab.
Where do responses to the Customer Churn Survey 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 Customer Churn Survey 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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