Customer Exit Interview Form

Customer Exit Interview Form — Form Fields

This sales template includes 7 fields. Understand why customers are leaving and gather actionable insights to reduce churn. Captures cancellation reasons, satisfaction scores, and competitor information. Free to customize and use on ZenBuild.

• Company Name (text, optional)
• Primary Reason for Leaving (dropdown selection, required) — options: Price / cost, Missing features, Switching to a competitor, No longer need the product, Poor customer support, Technical issues
• Overall Satisfaction During Your Time as a Customer (rating, required)
• Did you evaluate any competitor before leaving? (multiple choice, optional) — options: Yes, No
• Competitor Name (if applicable) (text, optional)
• Would you consider returning if we addressed your concerns? (multiple choice, optional) — options: Yes, definitely, Maybe, Unlikely
• What could we have done differently? (long text, optional)