Survey Form Template

The Survey Form Template – Canada is offered in multiple formats, including PDF, Word, and Google Docs. Each version is customizable and ready for printing, catering to your specific requirements effortlessly.

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Sample

Survey Form Template – Canada

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1. Participant Information

2. Survey Purpose

3. Consent to Participate
I consent to participate in this survey.

4. Demographic Information
Age Group:
Gender:
Employment Status:

5. Survey Questions

5.1. How satisfied are you with the community services provided?

5.2. What improvements would you like to see?

5.3. Would you recommend our services to others?
Yes No

6. Additional Comments

7. Date and Signature

Date:

Participant’s Signature:

PDF

WORD

Examples

Survey Form Template – Canada (1)

Title:
Customer Satisfaction Survey

Introduction:
We value your feedback! This survey aims to gather your thoughts on our services and products. Your responses will help us improve and serve you better.

1. How satisfied are you with our services?
[ ] Very Satisfied
[ ] Satisfied
[ ] Neutral
[ ] Unsatisfied
[ ] Very Unsatisfied

2. What products have you purchased from us?
[Open-ended response]

3. How would you rate the quality of our products?
[ ] Excellent
[ ] Good
[ ] Average
[ ] Poor

4. How likely are you to recommend our services to a friend?
[ ] Definitely
[ ] Probably
[ ] Not Sure
[ ] Probably Not
[ ] Definitely Not

5. What improvements would you suggest?
[Open-ended response]

Thank you for your time!
Please provide your contact information if you would like to be entered into our prize draw:
Name: [___________]
Email: [___________]

Survey Form Template – Canada (2)

Title:
Product Feedback Survey

Introduction:
We are committed to enhancing your experience with our products. Your insights from this survey are invaluable in guiding our improvements.

1. Which product did you purchase?
[ ] Product A
[ ] Product B
[ ] Product C
[ ] Other: [__________]

2. How satisfied are you with the product?
[ ] Very Satisfied
[ ] Satisfied
[ ] Neutral
[ ] Unsatisfied
[ ] Very Unsatisfied

3. What features do you value the most?
[Open-ended response]

4. Did you experience any issues with the product?
[ ] Yes: [Describe: __________]
[ ] No

5. Any additional comments or suggestions?
[Open-ended response]

Thank you for your feedback!
We appreciate you taking the time to help us improve. If you would like to be contacted regarding your feedback, please provide your email:
Email: [___________]

Printable

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