Delivery Feedback Survey Template

Delivery feedback survey template with 4 questions covering delivery speed, package condition, driver courtesy, and repeat intent.

This is a ready-made survey template you can use two ways. Print it on paper and hand it out, then scan the completed forms and PaperSurvey reads the answers for you automatically, no manual typing. Or share the very same template as an online web survey. The preview below shows the printable paper version.

Use this template

Copy this template into your account, then customize it to suit your needs.

This printable delivery feedback survey helps couriers, online retailers, and logistics teams collect honest ratings from every customer right after a drop-off, across just four questions on a single page. It takes under two minutes to complete and needs no app, link, or login.

What this survey measures

The survey opens with a rating grid that scores the parts of the experience customers actually notice: speed of delivery, condition of the package on arrival, communication and tracking along the way, courtesy of the driver, and how easy the overall process felt. A quick on-time question flags late arrivals, a likelihood-to-order-again question gives you a simple loyalty score to track over time, and an open comment box captures anything the fixed questions miss.

How to use it on paper

Hand the form to customers at the doorstep, tuck a copy inside the parcel, or leave a small stack at a pickup counter with a drop box. Customers fill the checkboxes with a blue or black pen and add a comment if they wish. Collect the completed forms and scan them in batches: PaperSurvey reads the ratings with optical mark recognition and converts the handwritten comments to text automatically, so results land in your dashboard with no manual data entry.

Customize this template

Add your company logo, reword the rating rows to match your service, or add questions about specific routes, drivers, or product types. Remove any question you do not need and the paper layout reflows automatically, and every copy you print stays scannable.

Preview the PDF above, or use this template to start collecting delivery feedback today.

Paper and web from one template

Every PaperSurvey template is a hybrid survey: run it on paper and scan the forms, share it online as a web survey, or do both at once and collect all the responses in one place. to see how it looks online, or open it in a new tab. It is a live preview only, so nothing you enter is saved.

Questions in this template

  1. How satisfied were you with the following?
  2. Did your order arrive on time?
  3. How was your order delivered?
  4. Did the tracking updates match when your order actually arrived?
  5. Did your order arrive complete and undamaged?
  6. How likely are you to order from us again?
  7. How much do you agree with the following?
  8. Any comments about your delivery?
  9. If you would like a reply, please share your email address.

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