This membership satisfaction survey template helps clubs, associations, and membership organizations understand how members feel and whether they intend to renew, with 4 questions across satisfaction, renewal intent, and open feedback. The form prints on a single sheet and takes about two minutes to complete.
What this survey measures
The satisfaction grid rates the parts of membership that matter most: the range of benefits and activities, the value for the fee, communication, events and community, facilities and resources, and how quickly you respond when members need help. A renewal question captures intent to stay, a recommend question gives you a simple score to track over time, and an open comment box surfaces the improvements members most want to see.
How to use it on paper
Hand the survey out at meetings, events, or the front desk, or include a copy with a renewal notice. Members fill the checkboxes with a blue or black pen and drop the form in a collection box. Scan the completed forms in batches and PaperSurvey reads the checkbox answers with optical mark recognition and converts the handwritten comments to text, so results reach your dashboard with no manual data entry.
Customize this template
Reword the benefit rows to match your organization, add questions about specific programs or chapters, or drop the ones that do not apply. The paper layout reflows automatically as you edit, and every copy you print stays scannable.
Preview the PDF above, or use this template to start collecting member feedback today.