Returns and Exchange Feedback Template

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

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.

Questions in this template

  1. Please rate your agreement with the following statements.
  2. Was your issue fully resolved?
  3. How likely are you to shop with us again?
  4. How could we make returns easier?

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