Survey template
A printable survey with your questions, multiple-choice options and a comments box.
- 🇺🇸 US format · Letter size
- Free
Fill in what you need. The preview updates as you type.
What you type is not saved on our server.
Keep it anonymous when you can
Answers are more honest when the form has no name on it. If you need contact details for a follow-up or a prize draw, ask for them in a separate last question and say what you will do with them.
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Customer satisfaction survey
We want to know how your visit went. This survey takes about three minutes, your answers are anonymous and we use them only to improve the store. October 5, 2026 Northwind Coffee, Austin |
1. How often do you visit this store?
□ Daily □ A few times a week □ A few times a month □ This was my first visit
2. What did you order today? (check all that apply)
□ Coffee or espresso □ Tea □ Food □ Something else
3. How would you rate the speed of service?
□ Very slow □ Slow □ About right □ Fast □ Very fast
4. How likely are you to recommend us to a friend?
□ Not at all likely □ Somewhat likely □ Likely □ Very likely
5. What is one thing we could do better?
____________________________________________________________
____________________________________________________________
6. Is there a drink or food item you wish we carried?
____________________________________________________________
____________________________________________________________
| Comments |
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Thank you for taking the time to complete this survey.
How to use it
Type one question per line. For a multiple-choice question put the choices after a vertical bar: How often do you visit? | Daily | Weekly | Monthly. Each choice prints with a check box. A line without choices becomes an open question with two lines to write on. For a check-all-that-apply question, say so in the question text.
The introduction prints in a box at the top with the date and your organization: say why you are asking, how long it takes and how you will use the answers. A comments box and a thank-you line close the page.
Things to watch
One idea per question. Choices should not overlap (1 to 5 and 5 to 10 both contain 5) and should cover every case, so add Other or Not applicable when needed. Pilot the form on two or three people before you print fifty copies.
Calculators that go with this
Frequently asked questions
How do I make a 1 to 5 rating question?
Write the five labels as choices: Very dissatisfied | Dissatisfied | Neutral | Satisfied | Very satisfied. They print in a row with check boxes.
Can I collect the answers online?
This template makes a printed form. Use it to settle the wording, then paste the same questions into Google Forms or a similar tool for an online version.
How many questions fit on one page?
About eight to ten multiple-choice questions with the intro box, or fewer if several are open questions. The preview shows the page break.
Is what I type saved anywhere?
No. Everything stays in your browser and nothing is sent to our server. If you refresh the page it is gone, so print, save a PDF or download the DOCX when you are done.