About this template
A service cancellation form with reason collection, feedback opportunity, and retention offer question.
Form blocks used
This template uses the following form blocks. Click to learn more about each.
Short text
Single line for names, titles, brief answers
Validated email with optional domain filtering
Multiple choice
Select one or more options from a list
Long text
Multi-line for comments, feedback, descriptions
Yes / No
Simple binary choice with customizable labels
Date
Date picker with optional time selection
Common pitfalls to avoid
- No insight into churn reasons
- Missing retention opportunity
- Incomplete feedback for improvement
How it works
1. Click "Use this template" to open the form builder with all fields pre-configured.
2. Customize the questions, add your branding, and adjust settings as needed.
3. Publish your form and share the link or embed it on your website.
4. Collect responses securely with built-in consent tracking and compliance features.
Frequently asked questions
Can I offer retention incentives?
Yes, the template asks if users would stay for a discount, helping identify save opportunities.
How do I analyze churn reasons?
Export responses to analyze cancellation reasons and identify patterns.
Can I automate the cancellation process?
Use webhooks to trigger cancellation workflows in your billing system.