• Customer Success & Support
  • Single-page

Churn survey (Complete, single-page)

Learn why customers leave without making feedback a condition of leaving.

  • 14questions
  • ~5 minto complete
  • Freeon every plan
Use this formPreview the form

Opens in the builder, fully editable. No card required. Part of the Churn survey template with 2 other forms.

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What is inside

14 questions, ordered so the easy ones come first. Every one is editable — delete what you do not need and add your own.

  1. 1Main reason for leavingMultiple choice
  2. 2Reason details (optional)Long text
  3. 3What would have helped (optional)Long text
  4. 4Future useMultiple choice
  5. 5Permission to follow up (optional)Yes / No
  6. 6Email address (optional)Email
  7. 7Time as a customer (optional)Multiple choice
  8. 8Alternative chosen (optional)Short text
  9. 9Value for moneyOpinion scale
  10. 10Support experienceOpinion scale
  11. 11What worked (optional)Long text
  12. 12Additional feedback (optional)Long text
  13. 13Unresolved issue (optional)Yes / No
  14. 14Unresolved issue details (optional)Long text

Make it yours

Three things worth changing first

  • Put your brand on it

    Swap the theme, drop in your logo and typeface, or lock it all with a brand kit so every form matches.

  • Change what the logic does

    Edit the branches on any question, or add your own conditions so the follow-ups fit how you work.

  • Send it where you work

    Push responses to Slack, a spreadsheet or your CRM the moment they land, with no export step.

Questions about this form

Is the Churn survey (Complete, single-page) form free to use?

Yes. It opens in the builder on the free plan as part of the Churn survey template. Some fields, such as payments or file uploads, need a paid plan to publish.

Can I edit the questions in Churn survey (Complete, single-page)?

Everything is editable: reorder, rename, delete or add any of its 14 questions, and change the logic between them.

Can I switch it to conversational?

Yes. Either experience works with the same questions; switch it from the form's design settings at any time.

Where do Churn survey (Complete, single-page) responses go?

Into your Onlyform workspace, and from there to Slack, Google Sheets, Notion, your CRM or any endpoint via integrations.

More forms in Churn survey

See the template

Use this form in your workspace

It opens in the builder, fully editable. Free forever plan, no card required.

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