General NPS Survey Template

• Thank you for giving us the opportunity to serve you better. Please help us by taking a few minutes to tell us about the service that you have received so far. We appreciate your business and want to make sure we meet your expectations.

• Customer Name (Optional)

• Product or Service Name

• Survey Date and Time

  Date

• Please click "Next Page" to continue.

Survey

• Considering only your most recent purchase experience, how likely would you be to recommend our product or service to a friend or colleague? (0 is not at all likely, 10 is extremely likely)

• What did you love about the product or service?

• What did you like the least about the product or service?

• How can we improve your experience with our product or service?

Customer Information

• We take the confidentiality and privacy of your responses very seriously. Any information you provide in this survey will be kept strictly confidential and only be used for the purposes of improving our services.

• Gender

  Male

  Female

  Non-Binary

  Prefer Not to Say

• Age

  Select Under 13 13-17 18-25 26-34 35-54 55-64 65 or over

  • Under 13
  • 13-17
  • 18-25
  • 26-34
  • 35-54
  • 55-64
  • 65 or over

• Marital Status

  Select Single, never married Married w/o children Divorced Separated Widowed Living with partner

  • Single, never married
  • Married w/o children
  • Divorced
  • Separated
  • Widowed
  • Living with partner

Completion

• Thank you for taking the time to complete this survey. Your feedback is important to us and will help us to continually improve our services.

• Full Name and Signature of Customer (Optional)

  Sign