--- generated_by: surveylegend-page-markdown title: Customer Testimonial Form Template | SurveyLegend description: Collect customer stories and requests for testimonial follow-up with this form template. Review responses before agreeing on public use. Start free. canonical: https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-surveys/customer-testimonial-form-template/ --- # 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. [Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-surveys/customer-testimonial-form-template/#try-template) Preview on a device Show the desktop survey preview Show the tablet survey preview Show the mobile survey preview ![Customer Testimonial Form: first question and response field, desktop preview](https://www.surveylegend.com/survey-template-media/previews/customer-testimonial-form-template-preview.avif) ![Customer Testimonial Form: first question and response field, tablet preview](https://www.surveylegend.com/survey-template-media/previews/customer-testimonial-form-template-preview-tablet.avif) ![Customer Testimonial Form: first question and response field, mobile preview](https://www.surveylegend.com/survey-template-media/previews/customer-testimonial-form-template-preview-mobile.avif) Customer Testimonial Form [Preview](https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-surveys/customer-testimonial-form-template/#try-template) Share [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fcustomer-satisfaction-surveys%2Fcustomer-testimonial-form-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fcustomer-satisfaction-surveys%2Fcustomer-testimonial-form-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fcustomer-satisfaction-surveys%2Fcustomer-testimonial-form-template%2F\&text=Customer%20Testimonial%20Form%20Template)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fcustomer-satisfaction-surveys%2Fcustomer-testimonial-form-template%2F\&title=Customer%20Testimonial%20Form%20Template) 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](https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-survey-template/) template. **Create your customer testimonial form in SurveyLegend** 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. ## 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. Preview on a device Show the survey at full desktop width Resize the survey to a tablet-width preview Resize the survey to a mobile preview with scrolling inside the frame Choose a look Use Classic: a white survey card over the background photo Use Light: dark text over a light tint covering the background photo Use Dark: light text over a dark tint covering the background photo 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. #### One last look Review your answers before submitting this demo. 0 answered #### Thank you for trying the survey! You’ve tried the template from the respondent’s side. Make it your own with SurveyLegend. [Create your own survey](https://www.surveylegend.com/register/) Checking submission availability… This is a demo. We count starts and submissions only. Your answers stay in your browser and are never sent or saved. **—**Starts **—**Submissions Activity is temporarily unavailable. ## 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. [![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download PDF](https://www.surveylegend.com/downloads/survey-templates/customer-testimonial-form-template.pdf) Export customer testimonial form template as PDF ## 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. AI prompt for a customer testimonial form [Use prompt directly in SurveyLegend](https://www.surveylegend.com/register/) Create a free account, then paste the copied prompt into SurveyLegend. Already have an account? [Sign in to create your customer testimonial form.](https://app.surveylegend.com/login/) ## 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. ## Frequently asked questions ### 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. Customer Satisfaction Survey Templates 1. [![Preview of the Customer satisfaction Survey Template](https://www.surveylegend.com/survey-template-media/previews/template-customer-satisfaction-survey-template-survey-preview.avif) Customer satisfaction Survey Template Customer satisfaction Knowing your customers is essential. Every day, you run your business, and every day, you have opportunities to hear from the people who keep it going. If you are lucky, feedback comes in on its own. Good companies listen when it does. But the businesses that grow year after year are the ones that actively ask for it.](https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-survey-template/) 2. [![Preview of the Customer Service Survey Template](https://www.surveylegend.com/survey-template-media/previews/template-customer-service-survey-template-survey-preview.avif) Customer Service Survey Template Customer satisfaction Great customer service matters just as much as a great product. When support is thoughtful, responsive, and reliable, it builds trust that keeps your existing customers coming back. These loyal customers are more likely to stick with your brand, even when things are not perfect, and they often become your strongest advocates, sharing their positive experiences with others.](https://www.surveylegend.com/survey-examples-templates/customer-service-survey-template/) 3. [![Preview of the Customer Net Promoter Score (NPS) Survey Template](https://www.surveylegend.com/survey-template-media/previews/template-customer-net-promoter-score-nps-survey-template-survey-preview.avif) Net Promoter® Score (NPS®) Survey Template Customer satisfaction ‘Word of Mouth’ is the best marketing any company can get—and the most enthusiastic customers are the ones spreading it. With SurveyLegend’s powerful Net Promoter Score (NPS®) survey template , you’ll discover just how likely your customers are to recommend your brand to friends and colleagues.](https://www.surveylegend.com/survey-examples-templates/customer-net-promoter-score-nps-survey-template/) 4. [![Preview of the Technical Support Satisfaction Survey Template](https://www.surveylegend.com/survey-template-media/previews/template-technical-support-satisfaction-survey-template-survey-preview.avif) Technical Support Satisfaction Survey Template Customer satisfaction Every day, people turn to their phones, computers, or tablets to get things done, stay connected, or find answers. Technology is part of everything now, so if you provide it, good support is not optional. It is what keeps your customers coming back.](https://www.surveylegend.com/survey-examples-templates/technical-support-satisfaction-survey-template/) 5. [![Preview of the Customer Loyalty Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/customer-loyalty-template-preview.avif) Customer Loyalty Survey Template Customer satisfaction Use this customer loyalty survey template to understand why customers return and what could make them choose another provider. It combines recent purchase behavior with reasons to stay, perceived alternatives, and next-purchase intentions. Create your version in SurveyLegend to investigate the relationship behind repeat business.](https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-surveys/customer-loyalty-template/) 6. [![Preview of the Customer Needs Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/customer-needs-template-preview.avif) Customer Needs Survey Template Customer satisfaction Use this customer needs survey template to find out what people are trying to accomplish, what gets in their way, and which improvement matters most. The questions begin with the customer’s task rather than a list of features you want to sell. Adapt the questionnaire in SurveyLegend before planning a new service or improving an existing offer.](https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-surveys/customer-needs-template/) 7. [![Preview of the Subscription Cancellation Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/subscription-cancellation-template-preview.avif) Subscription Cancellation Survey Template Customer satisfaction Use this subscription cancellation survey template to learn why subscribers leave and what they expected to achieve. The questions distinguish limited use, missing capabilities, cost, and a completed need. Build your feedback survey in SurveyLegend while keeping the actual cancellation process clear and separate.](https://www.surveylegend.com/survey-examples-templates/customer-satisfaction-surveys/subscription-cancellation-template/) Free survey maker ## Start creating surveys today *for free* Create and bring your ideas to life with the survey tool used by people all over the world. 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