Feedback questionnaire examples are basically sample questionnaires that are designed to achieve the desired results. Feedback questionnaires are used for a variety of surveys but are mostly consumer or customer targeted. The primary objective of these questionnaires is to get feedback from customers of a particular brand or company and the feedback will help the company to make necessary improvements or changes.

Sample Feedback Questionnaire Example:

Name of the participant: ____________________________

Gender: __________________________

Age: ___________________




Q1. How long have you been a customer of “sears”?

  • Not very long
  • New customer
  • Less than 6 months
  • Less than 1 year
  • More than 1 year
  • Not a regular customer

Q2. How do you find the customer service in “sears” stores?

  • Excellent
  • Encouraging
  • Very good
  • Fair
  • Bad
  • Poor
  • Don’t know

Q3. Have you ever had a bad experience at a “sears” store? If so then please mention what happened?

  • Yes
  • No
  • Experience: ______________________________________

Q4. How do you find the replacement or return policy of the store?

  • Consistent and good
  • Not very consistent
  • Not applicable for all products/services
  • No return policy
  • 15-day return policy only
  • 30-day return policy only

Q5. How do you find the in-store staff? (You can check more than 1 choice)

  • Courteous and helpful
  • Very informative
  • Remember their customers
  • Call using last name
  • Are rude
  • Don’t care attitude

Q6. Which of the following customer centric activities has the store conducted in the recent past?

  • Send cards to customers on specific occasions
  • Send mailers of new products or arrivals
  • Inform customers about sales
  • Offer customer discount cards
  • Offer special price for regular customers
  • None of the above