Forms
    Form

    Complaint Form

    Customer complaint intake form.

    5 questions~3 min

    Free to preview — no account needed. Using it creates your own editable copy.

    Try the template

    These are the real questions. Nothing you answer here is saved or submitted.

    Question 1 of 50%

    Full name*

    About this template

    Complaint Form is a ready-to-use form template with 5 questions that takes about 3 minutes to complete. Customer complaint intake form.

    Form templates collect structured information rather than opinions: contact details, enquiries, job applications, vendor registrations and complaints. Every extra field costs you completions, so start from the shortest version that still lets you act on the submission, and add fields only when you notice yourself asking for them by email anyway. Everything in this template is editable — treat the questions below as a starting point that already has the structure right, then cut what does not apply to you.

    Who should use it
    Any team that collects structured information from people outside it.
    When to use it
    Continuously — embedded on a website page, linked in a bio, or shared as a direct link.

    What this template helps you measure

    • Respondent name
    • Respondent email address
    • Support and issue resolution

    Every question in this template

    5 questions, with what each one is doing there. Change or remove any of them after you make your copy.

    1. Full name*

      Short text

      Why this matters: Captures who is answering in one short line — long enough to be useful, short enough to scan a hundred of them in a spreadsheet.

    2. Your email*

      Email

      Why this matters: Also the key you join this against your CRM or contact list, so the answers do not stay stranded in one report.

    3. Complaint category*

      Single choice
      • Product
      • Service
      • Billing
      • Staff
      • Other

      Why this matters: One choice about how issues get resolved forces a priority, which is more useful than letting everyone pick everything.

    4. Describe the issue*

      Long text

      Why this matters: Optional detail is better collected here than chased over email afterwards, when half the people never reply.

    5. Desired resolution

      Long text

      Why this matters: Deliberately not a dropdown: the honest answer here varies too much between people to survive being turned into a list.

    How to use this template

    1. 1

      Start with the template

      Click "Use this template" and SurveyKar creates your own copy of Complaint Form, with every question already in place. The original template stays untouched.

    2. 2

      Customise the questions

      Reword anything that does not match your business, delete what you do not need, change a question type, or add your own. Shorter forms finish more often — cut before you add.

    3. 3

      Add your branding

      Set your logo, brand colours, fonts and background so the page looks like it belongs to you rather than to a survey tool.

    4. 4

      Share it

      Publish, then share the link, print the QR code, embed it on your site, or send it to a contact list over email or WhatsApp.

    5. 5

      Read the responses

      Results land in your dashboard as they arrive, with charts per question, filters, sentiment analysis on open text, and CSV or PDF export.

    What you can customise

    Your copy is yours. Nothing in the template is locked, and the original is never changed by anything you do.

    Questions and wording

    Edit, reorder, delete or add questions. Nothing in the template is locked.

    Question types

    Swap a rating for NPS, a single choice for a matrix, or add ranking, sliders and file uploads.

    Logo and brand colours

    Apply your logo, primary colour, fonts and background image to the respondent page.

    Conditional logic

    Skip questions or branch to a different page based on an earlier answer. Available on the Basic plan and above.

    Thank-you page

    Write your own closing message, or redirect respondents to a URL of your choice after submitting.

    Sharing and distribution

    Share by link or QR code, embed it on your website, or send it out over email and WhatsApp campaigns.

    Frequently asked questions

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    Ready to create your survey?

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