Free customer feedback survey template
A printable customer feedback survey with rating scales, multiple-choice and open questions. Use it to learn what customers like, what to fix and how likely they are to recommend you.
What's in this template
Customer Feedback Survey
The Daily Grind Café, 18 Lever Street, Manchester M1 1FN
Thank you for visiting us. This survey takes about three minutes. Your answers are anonymous and help us decide what to change on our menu and in the café. Hand your completed form to any barista and get 10% off your next drink.
Date of visit: ____________ Time of visit: ☐ Before 11am ☐ 11am–3pm ☐ After 3pm
About your visit
1. How often do you visit The Daily Grind?
☐ This is my first visit ☐ Once a month or less ☐ Two to four times a month ☐ Several times a week
2. What did you order today? (tick all that apply)
☐ Hot coffee ☐ Iced coffee ☐ Tea ☐ Pastry or cake ☐ Breakfast ☐ Lunch ☐ Something else: ____________
3. Did you eat in or take away?
☐ Ate in ☐ Took away ☐ Ordered on the app for collection
Rate your experience
4. Please rate each of the following. Tick one box per row.
| Very poor | Poor | Okay | Good | Excellent | |
|---|---|---|---|---|---|
| Taste of drinks | ☐ | ☐ | ☐ | ☐ | ☐ |
| Taste of food | ☐ | ☐ | ☐ | ☐ | ☐ |
| Speed of service | ☐ | ☐ | ☐ | ☐ | ☐ |
| Friendliness of staff | ☐ | ☐ | ☐ | ☐ | ☐ |
| Cleanliness | ☐ | ☐ | ☐ | ☐ | ☐ |
| Value for money | ☐ | ☐ | ☐ | ☐ | ☐ |
| Seating and atmosphere | ☐ | ☐ | ☐ | ☐ | ☐ |
5. How likely are you to recommend The Daily Grind to a friend? Circle a number.
0 1 2 3 4 5 6 7 8 9 10
Not at all likely ... Extremely likely
What we could do better
6. How long did you wait for your order?
☐ Under 3 minutes ☐ 3–5 minutes ☐ 6–10 minutes ☐ More than 10 minutes
7. Which of these would make you visit more often? (tick up to two)
☐ More plant-based food ☐ A loyalty card ☐ Longer opening hours ☐ Faster service at lunch ☐ More seating ☐ Lower prices
8. What did you enjoy most about your visit?
9. What is one thing we should change?
About you (optional)
10. Your age group: ☐ Under 18 ☐ 18–24 ☐ 25–34 ☐ 35–49 ☐ 50–64 ☐ 65 and over
11. Would you like to hear about new menu items and offers?
☐ Yes, email me at: ____________________ ☐ No, thank you
We use your email only for café news and you can unsubscribe at any time. Thank you for helping us improve.