Complaint form template

The complaint form template enables companies and organizations to methodically gather information about an incident or issue, affected products or services, and customer expectations.

By also capturing the desired resolution, it aids in effectively addressing customer complaints and providing solutions that enhance customer satisfaction.

Complaint form survey

Example questions

Personal Information

Incident Details

1. Date and Time of Incident
2. Location of Incident (if applicable)
3. Description of Incident?

Affected Products/Services

1. Product/Service Name
2. Product/Service Description
3. Was the product/service received in a timely and satisfactory manner?

Customer Expectations

1. What was your expectation of the product/service?
2. Were your expectations met?
3. If not, what was the issue or problem?

Resolutions Sought

1. What would you like to see as a resolution to the issue?
2. What outcome would make you satisfied with the resolution?

Additional Feedback

1. Is there any additional information or details that you would like to provide regarding the incident?

Complaint Form Template Builder

LimeSurvey's complaint form survey template builder helps you gather valuable feedback from dissatisfied customers, allowing you to identify issues and improve your products or services.

  • Easy and simple to use
  • Statistics
  • Questionnaire templates
  • GDPR compliance
  • So much more…

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