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Build a Feedback Form Someone Acts On

A feedback form collects a rating and a comment about one experience. Describe yours, and Emergent builds it with alerts for low scores and a database you own.

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Star Ratings
Low-Score Alerts
QR Code Forms
Comment Boxes
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Build a feedback form that asks customers for a star rating and alerts me to low scores.

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What a Feedback Form Should Do After Submit

A template stops at the submit button. Emergent's version reads each answer and sends it to whoever can act on it.

Star ratings with a follow-up question

Asks for a star rating, then shows a follow-up question that depends on the score. A 5-star answer is asked what went well, and a 2-star answer is asked what went wrong.

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Low scores routed to one owner

Sends a Slack or email alert to the owner of that order when a rating falls below the line you set. The alert carries the score and the comment, with a link back to the order.

One question per screen on phones

Shows one question at a time on a phone, with the rating first and the comment box last. Required fields stay few, and anything optional is clearly marked as optional.

A link and QR code per location

Creates a separate link for each store or event, plus a QR code you can print for the front counter. Each response records which link it came from without asking anyone.

Responses in a database you own

Saves every response as a row in your own database, tagged with the date and the source. Filter a quarter of comments by location, or export them for the monthly review.

Take the code with you

Exports the whole app to your GitHub on paid plans. An engineer can connect it to your CRM through its API and extend it, or you can describe the change and let Emergent write it.

Feedback Forms by Who Is Answering

A customer rates order #10482 two of five stars with the comment that the box arrived crushed, and support lead Dana Ruiz gets a direct message with the order and the comment.
Customer Orders

Two stars or fewer go straight to the support lead

A 2-star rating is worth more today than in next month's report. Seven days after delivery, the customer gets a form with a star rating and a comment box. Any rating of 2 stars or lower sends the support lead a direct message with the order and the comment. Every answer is saved to the orders database.

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window.awbMockup = { customerFeedback: "Build a customer feedback form for my online store. Seven days after an order is delivered, email the customer a short form with a 1 to 5 star rating and an optional comment box. If the rating is 2 stars or lower, send our support lead Dana a Slack direct message with the order number, the rating and the comment. Save every answer to the orders database.", openHouseFeedback: "Make an open house feedback form for my real estate listings. Visitors scan a QR code at the door and answer 3 questions on their phone: what they think of the asking price, the condition of the home and whether they are interested. Count the answers per listing and build a report I can send the seller after each open house.", presentationFeedback: "Create a feedback form for the workshops I run. Attendees rate clarity, pacing and usefulness on a 1 to 5 scale and can leave a comment. Close the form at the end of the day, then show me the average score for each question with the lowest one first, along with the comments for that question.", patientFeedback: "Set up a patient feedback form for our clinics. Two hours after each visit, email the patient a form asking how long they waited and how the staff treated them. If someone reports a wait over 30 minutes, flag the visit to the practice manager for that location with the patient's comment. Keep every answer in our database." };

Visitors to the Alder Lane open house answer three questions on their phones, and the seller report shows 7 of 12 visitors found the asking price too high.
Open Houses

One seller report from every visitor's answers

Sellers want to know what visitors thought of the price, not only how many came. A QR code at the door opens a form with 3 questions on the visitor's phone: price, condition, and interest. Answers add up per listing. The Sunday report showed the seller that 7 of 12 visitors found the asking price too high.

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After a workshop feedback form closes, the speaker sees pacing averaged 3.1 out of 5, below usefulness and clarity, with comments asking for fewer slides.
Presentations

Session scores by question, weakest first

A speaker improves fastest when the scores point at one thing to change. Attendees rate a workshop on clarity, pacing and usefulness, each on a 1 to 5 scale. When the form closes, the speaker sees the average for each question, lowest first. Pacing came in at 3.1, with comments asking for fewer slides.

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A patient at the Midtown clinic reports a 45-minute wait, so the visit is flagged to practice manager Leah Park with the patient's comment.
Clinic Visits

A flag for any wait over 30 minutes

Long waits are a complaint a clinic can fix once someone sees them by location. Two hours after a visit, the patient gets an emailed form about the wait and the staff. Any reported wait over 30 minutes flags the visit to the practice manager for that location, with the patient's comment attached.

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If it has an API, Emergent connects to it.

Slack, Stripe, HubSpot, and every other tool with an API. No closed ecosystem, no approved-partner list, no waiting on a vendor roadmap.

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How to Create a Feedback Form

Good feedback forms are short, sent at the right moment and read by someone who can act. Seven steps, in the order you will meet them.

01 Decide what the answers will change

Name the decision the form should inform before writing a question: a delivery partner, a support script, a speaker's next talk. A form with no decision behind it collects opinions that sit unread. Write that decision at the top of your draft.

02 Choose the rating scale

Use 1 to 5 stars for satisfaction with one order or visit. Use 0 to 10 when you ask how likely someone is to recommend you, the Net Promoter Score question. Label both ends of the scale so every person reads them the same way.

03 Cut it to five questions or fewer

One rating, one or two questions about the part you can change and one comment box cover most needs. Delete any question whose answer you would not act on. Make the comment box optional and put it last, after the rating.

04 Ask a follow-up based on the score

Show a different second question to happy and unhappy people. Ask a 5-star customer what stood out, and ask a 2-star customer what went wrong. The low-score answers are the ones a team can act on the same week.

05 Send it while the memory is fresh

Time the form to the experience: when a support ticket closes, a week after delivery, as a session ends, a couple of hours after an appointment. Fill in the order or visit from the link; nobody should have to type a reference number.

06 Give low scores one owner

Pick the person who handles each low rating and send it to them directly, with the score and the comment. A shared inbox lets everyone assume someone else replied. Track how long each low score waits before somebody responds.

07 Reply to the people who answered

Reply to anyone who left a low score and a comment, and tell them what changed. Once a month, read the comments by location or event and look for repeats. A problem named in ten comments deserves a fix.

Why Build Feedback Forms With Emergent?

Every rating and the alert it triggers live in one app, in a database you can query.

Jotform Google Forms Typeform
How you build Describe it in plain English Templates, editor, AI generator Manual, field by field Templates, editor, AI assist
Response limits No response caps Monthly submission caps by plan; the form stops at the cap No limit Monthly response caps by plan; the form closes at the cap
Where responses live A database table you own, plus any integration Jotform account Google Sheets Typeform account
Code ownership Full code export to GitHub on paid plans None None None

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