Cancellation survey generator
Learn why customers leave with a short exit survey: reason, what could have helped and whether they'd return. Customise it below, then export code for HTML, React, Next.js, Vue, WordPress and more.
Add field
Fields (4)
Field settings
The key used in submissions, emails and integrations.
About this cancellation survey
This cancellation survey template is a starting point used by subscription businesses, saas churn reduction, memberships. Every export includes FormSubmit's hidden honeypot field for spam protection and posts straight to your endpoint — no server, plugin or SMTP setup required.
Once connected, each submission is emailed to you, stored in your dashboard (with the retention period you choose) and can be sent to Google Sheets, Slack, Discord, Airtable, Mailchimp, Kit or any webhook.
Fields included
- Account email
email · email - Main reason for leaving *
reason · radio - What could we have done better?
improve · textarea - Would you consider coming back?
come_back · radio
Frequently asked questions
How do I add this cancellation survey to my website?
Customise the fields, open "Get code", pick your framework and paste the snippet into your page. Then sign in to FormSubmit to replace YOUR_FORM_ID with your real endpoint — submissions start arriving by email immediately.
Do I need a server or plugin for this cancellation survey?
No. The form posts directly to your FormSubmit endpoint, which stores submissions, filters spam, emails you and forwards data to your integrations.
Can I change the fields?
Yes — add, remove, reorder and edit any field. Field names become the keys you'll see in emails, exports and webhooks.
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