Anonymous example Customer experience · CSAT
A quick satisfaction check
How satisfied were you? Rate your satisfaction with a recent experience, the service you received, and the outcome. This example does not ask for your name or email. Your answers stay in this page and are not submitted or saved.
Three ratings on a 1–5 scale · One optional written answer.
Start survey → Interactive completion requires JavaScript. Here are the questions as a readable example. Nothing can be submitted.
Overall, how satisfied were you with your experience? Required · 1 · Very dissatisfied; 2 · Dissatisfied; 3 · Neutral; 4 · Satisfied; 5 · Very satisfied
How satisfied were you with the service you received? Required · 1 · Very dissatisfied; 2 · Dissatisfied; 3 · Neutral; 4 · Satisfied; 5 · Very satisfied
How satisfied were you with the outcome of your experience? Required · 1 · Very dissatisfied; 2 · Dissatisfied; 3 · Neutral; 4 · Satisfied; 5 · Very satisfied
What could we do to improve your experience? Optional written answer, up to 500 characters. Please leave out names, contact details, or anything that could identify you or someone else.
Example only. Answers are not submitted or saved.