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Cancellation Survey

Free cancellation survey template. Capture the real reason for churn and what would have kept them — in the 60 seconds before they're gone for good.

churncancellationretentionSaaSexit survey
Use This Template

Free to use. No credit card required.

Fields included
  • o
    What's the main reason you're cancelling?
    Single choice• Required
  • =
    What could we have done differently to keep you?
    Long text• Required
  • -
    Which alternative are you moving to, if any?
    Text input
  • *
    How likely are you to return in the future?
    Star rating

Try this form live

This is the exact experience your respondents get — one question at a time, with the AI adapting each question to your answers and validating them as you go. Clone it to add your branding, logic, and response analytics.

Why each question earns its place

What's the main reason you're cancelling?
Structured options, because free-text churn reasons are unquantifiable — you need percentages, not anecdotes.
What could we have done differently?
Required and blunt on purpose. Departing customers are the only honest focus group you'll ever get for free.
Which alternative are you moving to?
Optional competitive intel — even a 20% answer rate maps who's actually eating your churn.
How likely are you to return?
Separates pause from divorce: high scores mark accounts worth a win-back email in six months.

Best for

  • Teams launching a cancellation survey flow, tailored around churn, cancellation, retention.
  • Customer feedback programs that need more detail than a rating alone.
  • Product teams collecting qualitative insight after launches.

Why use this template

Learn why customers leave while they're still willing to tell you. This cancellation survey template gives you a ready-to-edit conversational flow, so you can publish faster while still collecting the context a static form often misses. Adjust labels, required fields, and AI-powered follow-ups inside SiliForm.

Frequently asked questions

What should a cancellation survey ask?
Four things: why they're leaving, what would have kept them, where they're going, and whether they'd return. This template asks exactly those in about 60 seconds.
When should a cancellation survey be shown?
In the cancellation flow itself, before the final confirm. Response rates collapse once the account is closed — catch them while they're still in the room.
Do cancellation surveys actually reduce churn?
Indirectly and reliably: 'missing features' answers become your roadmap's retention column, and 'too expensive' clusters justify a cheaper tier before the next cohort churns.

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