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Cancellation survey template

Why customers leave, the one thing that would have kept them, and a way to help before they go.

Use this templateFree · no credit card
  • 10 questions
  • 3 pages
  • 4 min to fill in
  • Tech and e-commerce
formkit.app/you/cancellation-survey
Cancellation survey

Sorry to see you go

Three short pages, about two minutes. Your answers go to the people who build the product.

10 questions · 3 pages
Try a theme

This is the real template. Fill it in, then make it yours.

One main reason, then a follow-up that fits it: what would have kept them on price, which feature was missing, where they are going, or what went wrong. Anyone who asks for help must leave an email. On Pro, people who would rather pause see how to pause, and those who ask for help, or whose problem the AI reads as fixable, finish on an offer to put it right.

Who it’s for

Subscription and SaaS businesses that want to know why customers leave, in their words, and save the ones who can be saved.

Show it from your cancel flow, or send it in the cancellation email.

Page by page

Every question in this template

The pages as a respondent meets them. Pick any question to open it in the live preview above.

  1. Page 1Questions2 questions
  2. Page 2Tell us more6 questions
  3. Page 3Before you go2 questions
  4. ThenThank you for telling us

    Every answer is read. If you ever come back, your account settings will be where you left them.

    Conditional logic is already set up
What comes back

Every answer, in one place

Each response lands in your inbox as a card like this one, with an email to you if you want it. People who stop part-way are kept too, with the answers they gave.

  • Partial answers and drop-off by question, on every plan
  • CSV, JSON and PDF on every plan, Excel on Pro
  • Sheets, Slack, Notion, Airtable, HubSpot and webhooks on Pro
Maya OkaforCancellation survey · just nowNew
What is the main reason you're cancelling?
It costs too much
How long were you with us?
Less than a month
What would have kept you?
A cheaper plan
Which feature was missing?
Their answer, in their own words
Which product are you moving to?
Their answer, in their own words
What went wrong?
Their answer, in their own words

and 4 more answers

From template to live form

Three steps, a couple of minutes

  1. Use this template1Make it your own copyIt becomes a draft in your account. Nothing you change touches the original.
  2. Reword, reorder, re-theme2Change anythingQuestions, pages, logic, theme and logo. It is an ordinary form from here on.
  3. formkit.app/you/cancellation-survey3Publish and shareYour own link, a QR code or an embed. Every answer lands in one inbox.
Make more of it

What this form can also do

Questions about this template

Does this cancel the account?

No. It is a survey; cancelling stays in your own product. The ending can point people to your pause or billing settings.

Can I see why people cancel over time?

Analytics count every reason. On Pro, AI insights read the free-text answers for sentiment and themes, and AI replies can send each person a short note from you.

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