Customer Testimonial Form Template

This customer testimonial form template invites customers to describe their experience and what changed after using your product or service. It also asks whether they welcome a follow-up about a public testimonial; agree on the quote and attribution before publishing.

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Customer Testimonial Form: first question and response field, desktop preview — Customer Testimonial Form Preview

Customer Testimonial Form: first question and response field, tablet preview — Customer Testimonial Form Preview

Use this customer testimonial form template to collect a customer’s experience in their own words. Ask what they used, what changed, and whether they are open to discussing a public testimonial. Create the form in SurveyLegend, then agree on the exact quote and attribution before publishing anything.

When to use this customer testimonial form

Share it after a customer has enough experience to describe your product or service. Let them tell a balanced story rather than prescribing a glowing review. The form separates the experience itself from willingness to discuss publication. It does not grant a blanket right to publish a name, logo, photograph, or quote.

For broader experience feedback instead of an individual story, use our customer satisfaction template.

8 questions for your customer testimonial form

Use these 8 questions as a starting point. All fields are optional; choose one answer where choices are listed. Leave an irrelevant open field blank.

Respondent introduction:
Tell us about your own experience. Submitting this form does not authorize public use of your words or identity. We will ask separately before publication. All fields are optional.

Try the survey

A little feedback. A clearer picture.

Explore this 8-question example at your own pace. Every question is optional.

SurveyLegend demo Question 1 of 8

Customer Testimonial Form

01 Which product or service did you use?

Share your answer, or skip this question.

02 What were you hoping it would help you do?

Share your answer, or skip this question.

03 What was your experience of using it?

Share your answer, or skip this question.

04 What changed, if anything, after using it?

Share your answer, or skip this question.

05 What would you want another customer to know?

Share your answer, or skip this question.

06 May we contact you to discuss a possible public testimonial?

Choose one answer, or skip this question.

Yes, you may contact me to discuss it No, please use this as private feedback only

07 If you want a follow-up, what name should we use?

Share your answer, or skip this question.

08 If you want a follow-up, what email address should we use?

Share your answer, or skip this question.

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How to customize your customer testimonial form

Name the product or service and explain who will read submissions. Keep the outcome question open so you do not suggest unsupported revenue or performance claims. If you later want to publish a testimonial, confirm its accuracy, wording, attribution, and intended placement with the customer through your own review process. Do not make permission to publish a condition of giving feedback. Keep contact information out of public page previews and example results. Before sharing widely, try the questions with a few people from the intended audience and clarify anything they interpret differently.

Printable customer testimonial form template

Use this printable customer testimonial form template after an in-person project review or customer interview. It includes the same questions and space to write, giving people who prefer paper or are less comfortable online another way to take part. SurveyLegend helps you offer both formats. Tell respondents where to return the completed form and who will review it. Paper answers need a separate review or manual entry process; they are not automatically added to online responses.

AI prompt for a customer testimonial form

Give customers room to describe their experience honestly, then follow up thoughtfully.

The full prompt below specifies your customer testimonial form, including all 8 questions and response settings. Copy it, register for a free SurveyLegend account, and paste it into SurveyLegend’s AI survey creation tool. Review the result and add your organization’s details before sharing.

Create a customer testimonial form in SurveyLegend using the exact questionnaire below.

Purpose: Give customers room to describe their experience honestly, then follow up thoughtfully.

Creator setup before sharing:
Name the product/service and explain the private review process. No publication release is included; follow-up preference does not grant publication rights.

Requirements:
- Include exactly 8 fields in the order shown. Preserve wording, field types, choice order, and optional settings verbatim.
- Show every field. Single choice means one selection. Preserve instructions for irrelevant fields; do not invent branching.
- Do not add questions, answers, scores, outcome predictions, certifications, or promises of anonymity.
- Do not invent organization details, dates, offer prices, a concept card, a job criterion, or other required context. Ask the creator for missing setup information before the survey is shared.
- This prompt creates a draft questionnaire. It does not process transactions, change accounts, issue tickets, publish testimonials, or make employment decisions.
- If an exact field or setting is unavailable, explain the limitation separately rather than silently changing it.

Respondent introduction:
Tell us about your own experience. Submitting this form does not authorize public use of your words or identity. We will ask separately before publication. All fields are optional.

Exact questionnaire:

1. Which product or service did you use?
Field type: Short text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

2. What were you hoping it would help you do?
Field type: Long text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

3. What was your experience of using it?
Field type: Long text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

4. What changed, if anything, after using it?
Field type: Long text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

5. What would you want another customer to know?
Field type: Long text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

6. May we contact you to discuss a possible public testimonial?
Field type: Single choice
Answer choices, in order:
- Yes, you may contact me to discuss it
- No, please use this as private feedback only
Required: No
Display rule: Always

7. If you want a follow-up, what name should we use?
Field type: Short text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

8. If you want a follow-up, what email address should we use?
Field type: Short text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

Compare every field with this specification before finishing. Report differences separately. Ask the creator to review the draft and required context before sharing. Do not publish automatically.

Use prompt directly in SurveyLegend

Create a free account, then paste the copied prompt into SurveyLegend.

Already have an account? Sign in to create your customer testimonial form.

Review customer stories before asking to publish them

Review each response as an individual account. Check that the described outcome is supported by the customer’s experience and that any limitations remain visible when you shorten a quote. Use the follow-up preference to decide whether to contact the respondent. A positive comment without an invitation to follow up stays feedback. Do not turn selected testimonials into a claim about what every customer will achieve.

Does this form authorize publication?

No. Its follow-up question asks whether you may discuss possible public use. Confirm the final text, attribution, and placement separately before publishing.

Can I ask only for positive feedback?

Use neutral questions that allow a customer to describe the real experience. Do not rewrite a mixed response into an unqualified endorsement.

Do I need a name and email?

Only if they serve a clear purpose, such as a requested follow-up. They are optional in this example, and a respondent may leave them blank.

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