1
Your name or reporting identifier
Provides a structured answer that is straightforward to compare and segment. It is optional so respondents can continue when it does not apply.
Forms & registration template
Complaint and feedback form
Document the details, impact and next action for a complaint, compliment or suggestion.
4 minute estimate5 fully editable questionsNo account needed to preview
Full question preview
What this template asks
2
Date of the issue or observation
RequiredStandardises timing for filtering and follow-up. It is required in this starting template, but you can change that in the builder.
3
How serious is the issue involving a complaint, compliment or suggestion?
RequiredProvides a structured answer that is straightforward to compare and segment. It is required in this starting template, but you can change that in the builder.
LowModerateHighCriticalNot sure
4
Which follow-up actions may be needed?
RequiredAllows more than one applicable factor without forcing a false single choice. It is required in this starting template, but you can change that in the builder.
No actionContact reporterInvestigateProvide supportEscalate urgently
5
Describe what happened and include relevant details.
RequiredCaptures context, examples, and ideas that fixed options may miss. It is required in this starting template, but you can change that in the builder.
Sample-size considerations
This is usually a census of applicants or requests rather than a research sample. Report volumes and outcomes without implying population estimates.
Best practices
Mark only necessary fields as requiredExplain the next step and response timeCollect consent for follow-up
Common mistakes
Requesting sensitive documents too earlyProviding no confirmation or next stepUsing one form for unrelated processes
Frequently asked questions
Can I edit the complaint and feedback form template?
Yes. Every question, answer option, required setting, section, theme, and eligible logic rule can be changed in Surveyor before you publish.
Can I preview the questionnaire before signing up?
Yes. The respondent preview is available without an account. An account is required only when you want to create and save an editable survey in a protected workspace.
Last reviewed 2 August 2026
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