A Cancellation Survey Form Template is designed to help businesses understand why users choose to cancel a service, subscription, or membership. This template allows you to collect structured feedback that highlights issues, unmet expectations, or changing needs so you can improve retention and user experience.

Using Fluent Forms, you can guide respondents with a custom HTML banner that explains the purpose of the survey, followed by radio fields for quick cancellation reasons. A checkable grid helps capture feedback across multiple areas such as pricing, features, support, or usability. Rating fields allow users to score their experience, while a text area provides space for detailed comments or suggestions. All responses are stored in one place, making it easier to analyze trends and take action.

This Cancellation Survey Form Template keeps the survey simple, focused, and easy to complete on any device.