Service Cancellation and Comprehensive Exit Feedback

1. Service & Account Identification

Please provide your account details to help us process your cancellation request efficiently.


Account ID or Username

Associated Email Address

Service Type

Specific Service Plan Name

Service Start Date

Next Scheduled Billing Date

2. Cancellation Primary Reason

Understanding your primary reason for cancellation helps us identify key areas for improvement.


What is the primary reason for cancelling?






Additional details about your cancellation reason (optional)

3. Usage & Engagement History

How frequently did you use the service in the last 3 months?

Which features or modules did you use most? (Select all that apply)

When was the last time you actively used the service?

On a scale of 1-10, how would you rate the value for money you received?

4. Satisfaction & Experience Assessment

Overall, how satisfied were you with our service?

Please rate the following aspects of your experience:

Onboarding and setup process

User interface and ease of use

Feature set and capabilities

Performance and speed

Customer support quality

Documentation and help resources

Communication and updates

Billing and invoicing clarity

Did the service meet your initial expectations?

Did you contact customer support in the last 6 months?


5. Competitive Analysis & Switching Behavior

Are you switching to a competitor's service?


What factors influenced your decision to choose an alternative? (Select all that apply)

What does the alternative service offer that we do not?

Rank the following factors in order of importance when choosing a service (1 = most important):

Price

Feature set

Ease of use

Customer support

Reliability

Scalability

Security

Contract flexibility

6. Future Relationship & Win-Back Potential

What could convince you to return in the future? (Select all that apply)

How likely are you to consider our service again in the next 12 months? (1 = Very unlikely, 10 = Very likely)

How do you feel about recommending our service to a colleague or friend?

May we contact you in the future about service improvements or special offers?


7. Offboarding & Administrative Details

Do you require a data export or backup before cancellation?


Are there any outstanding billing issues or disputes to resolve?


Do you believe you are eligible for a refund?


I understand that cancellation will take effect at the end of my current billing cycle and I will lose access to all service features thereafter.

I have downloaded all necessary data and understand that my data may be deleted after cancellation per the service policy.

8. Final Feedback & Suggestions

What is the one thing we could have done differently to retain you as a customer?

What advice would you give to our product team?

Any other comments or feedback you'd like to share?

Would you be willing to participate in a brief follow-up interview to discuss your experience in more detail?


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