A Net Promoter Score survey with score selection and open-ended follow-up.
Exactly what visitors will see on your site
Every field in this template, ready to use out of the box.
email · required
How likely are you to recommend us? (0-10)
select · required
What is the main reason for your score?
textarea · required
Choose HTML for static sites or React for component-based apps. Replace YOUR_FORM_ID with your Flowqen endpoint ID.
<formaction="https://flowqen.com/api/f/YOUR_FORM_ID"method="POST"class="max-w-xl mx-auto rounded-[32px] border-2 border-[#231b17] bg-[#fffdf9] px-6 py-7 shadow-none sm:px-8"><h2 class="text-2xl font-semibold tracking-tight text-[#231b17] mb-6">NPS Survey</h2><div class="space-y-4"><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Email</label><input type="email" name="email" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" placeholder="jane@example.com" required /></div><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">How likely are you to recommend us? (0-10)</label><select name="score" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" required><option value="">Select...</option><option value="0">0</option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option></select></div><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">What is the main reason for your score?</label><textarea name="reason" rows="4" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8 resize-none" placeholder="Tell us more..." required></textarea></div></div><!-- Honeypot (spam protection) --><div style="display:none"><input type="text" name="_gotcha" style="display:none" /></div><button type="submit" class="mt-6 w-full rounded-[18px] bg-[#231b17] py-3 text-sm font-semibold text-white transition hover:bg-[#3a2f29]">Submit</button></form>
A Net Promoter Score (NPS) survey form template is the industry-standard way to measure customer loyalty. This HTML form asks users to rate their likelihood of recommending you on a 0-10 scale and explain their reasoning. NPS surveys are used by companies of all sizes to track brand health and predict growth.
Common questions about survey form templates.
Other free templates in the same category.
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