Simple Feedback
With Base Theme

"Simple Feedback Form Template"

Essential Website Upgrade: Easy-to-Integrate Online Form
Simple Feedback Form Template

Get to know what your customers think with our easy-to-use feedback form. It's designed for people to quickly share their thoughts on what you do. They can tell you about their experience, rate your content, and say how happy they are with your service.

Here's what the form has:

  • Name and Email Fields: People can tell us who they are, and where we can send a thank you. Sharing an email is up to them.
  • Message Box: This is a spot for customers to write what they think. They can give details or just a quick note.
  • Simple Ratings: Three drop-downs let customers rate our service usability, content, and their overall happiness with us.

This form is perfect for any service, big or small. Using it means you're ready to listen and make things even better for your customers. Give it a go and see what they have to say!

Simple Feedback Features

Capture Customer Insights
Capture Customer Insights
Collect valuable feedback on usability, content, and satisfaction to improve your service.
Engage with Users
Engage with Users
Encourage customers to share their thoughts easily with a user-friendly form.
Enhance User Experience
Enhance User Experience
Understand customer needs better to tailor your service for a seamless experience.
Drive Customer Loyalty
Drive Customer Loyalty
Show customers you care by listening to their feedback and making improvements.
Boost Service Quality
Boost Service Quality
Use feedback to refine your offerings and exceed customer expectations.
Increase Customer Satisfaction
Increase Customer Satisfaction
Prioritize customer feedback to enhance service quality and satisfaction levels.
Simple Feedback Form Template
Customizable Form Fields
You can add, remove or re-arrange form fields when using our form builder app.
title (html-block)
name* (text, input)
email (email)
message* (text, textarea)
usability* (select, dropdown)
Usability Rating
content* (select, dropdown)
Content Rating
satisfaction* (select, dropdown)
Overall Satisfaction

Try Out the Form for Yourself!

Experience Ease and Flexibility Across Multiple Devices and Screens

The form below is using our "Base" form theme. You can change the colors and the theme using the Wizara Form Builder app.