Returns and Exchange Feedback Template

Returns experience survey template with 4 questions covering process ease, staff help, refund speed, and resolution.

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 returns experience survey helps retailers capture honest feedback right after a customer completes a return or exchange, using 4 short questions on a single page. The form takes about two minutes and reaches every shopper, including those who would never answer an email survey.

What this survey measures

The questions cover how easy the returns process felt, whether staff were helpful, how quickly the refund or exchange was handled, and whether the policy came across as clear and fair. A pick-one question confirms whether the customer's issue was fully resolved, another gauges how likely they are to shop with you again, and an open comment box invites specific ideas for making returns smoother.

How to use it on paper

Hand the survey to customers at the returns counter or leave copies near the exit with a drop box. Customers fill the checkboxes with a blue or black pen and answer the comment question in their own words. Collect the completed forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and converts the handwritten comments to text automatically, so results appear in your dashboard without any manual data entry.

Customize this template

Add your store logo, reword the statements to match your return policy, or add questions about specific departments or channels. 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 returns 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. What did you return or exchange?
  2. Why did you return the item?
  3. How did you make the return?
  4. How did you want your return handled?
  5. Please rate your agreement with the following statements.
  6. Was your issue fully resolved?
  7. How long did the whole return take from start to finish?
  8. How likely are you to shop with us again?
  9. How likely are you to recommend our store to a friend?
  10. How could we make returns easier?
  11. Is there anything else you would like to share about your visit?

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