Questionnaire Form Template

The Questionnaire Form Template – Canada is offered in multiple formats, including PDF, Word, and Google Docs. Each version is both customizable and ready for printing, ensuring it serves your requirements effortlessly.

(Template – Open)

Fill Out Template – Online

Sample

Questionnaire Form Template – Canada

Editable – Printable

PDF 1 PDF 2

Fill Out Template – Online

1. Questionnaire Title

2. Respondent Information
Name:

Email:

Phone Number:

3. Demographic Information
Age:

Gender:

Location:

4. Questionnaire Questions
1. How satisfied are you with our service?

2. What could we improve?

3. Would you recommend our services to others?

4. Additional Comments:

5. Consent for Data Collection
I consent to the collection and use of my data for research purposes.

6. Signature and Date
Date:
Signature:

PDF

WORD

Examples

Questionnaire Form Template – Canada (1)

Participant’s Information:
[Participant’s Name]
[Participant’s Age]
[Participant’s Gender]
[Participant’s Address]
[Participant’s Phone]
[Participant’s Email]

Purpose of the Questionnaire:
This questionnaire aims to gather information regarding [specific subject, e.g., customer satisfaction, product feedback, etc.] to enhance the services and offerings of [Business Name].

Instructions:
Please complete the following questions to the best of your ability. Your responses will be kept confidential and used solely for the purpose of improving our services.

Question 1:
How satisfied are you with our services? (Very Satisfied, Satisfied, Neutral, Unsatisfied, Very Unsatisfied)

Question 2:
What specific features have you found most beneficial? (Open-ended response)

Question 3:
What improvements would you like to see? (Open-ended response)

Question 4:
Would you recommend our services to others? (Yes/No)

Question 5:
Any additional comments or suggestions? (Open-ended response)

Confidentiality Statement:
All information collected through this questionnaire will remain confidential and will only be used for the intent outlined above.

Thank you for your participation!

Questionnaire Form Template – Canada (2)

Responder Details:
[Responder’s Name]
[Responder’s Contact Number]
[Responder’s Email]

Objective:
The aim of this questionnaire is to collect feedback regarding [specific event, service, or product] and to understand the participant experience for future improvements.

Guidelines:
Please answer all questions honestly. Your feedback is invaluable to us and will be treated with utmost confidentiality.

Question 1:
How did you hear about us? (Social Media, Friend, Website, Other)

Question 2:
On a scale of 1 to 10, how would you rate your overall experience with us?

Question 3:
What was the most positive aspect of your experience? (Open-ended response)

Question 4:
What challenges did you encounter, if any? (Open-ended response)

Question 5:
Any suggestions for improvement? (Open-ended response)

Confidentiality Assurance:
Your responses are confidential and will only be used to improve our services.

Thank you for taking the time to share your thoughts!

Printable

PDF 1 PDF 2