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Website feedback form template

Let visitors tell you what they see, on any page, at any time

Four questions behind a side button: what the visitor wants to share, the details, an optional screenshot and an email for a reply. Usertick reads every message, marks bugs, ideas and questions, and flags the urgent ones.

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What this website feedback form tells you

A website feedback form stays available on every page, so visitors can speak up the moment something breaks or an idea comes to them, without waiting to be asked. This template first asks what they want to share, from reporting a problem to leaving a compliment, then asks for the details, an optional screenshot and an email if they would like a reply.

It is written for a side button: a tab on the left or right edge of the page that opens the survey as a popup when a visitor selects it. Keep it on your whole site or in your web app. The tab is hidden on screens 480 px wide or narrower, so on phones it reaches tablet and desktop visitors only.

Results shows the share of each kind of message, every message with its sentiment and theme, the screenshots in a gallery and the emails in a table. Usertick reads each message as it arrives, marks it as a bug, an idea, a complaint, a question or praise, and flags the urgent ones, so a broken checkout reaches someone first.

On your websiteAs a linkIn an emailAs a conversation
Questions
4
Time to answer
About a minute
Written for
A side button on every page of your site or web app
Plans
Every plan; Free allows 1 screenshot question per survey

See it on every channel

The same template on your website, behind a link, in an email and as a conversation.

On your website

Show it as a popup, a side button or inside the page, and choose the pages and the moment it opens: on page load, after a delay, on scroll or as someone is about to leave, on every plan. Event and behavior triggers work on 1 survey on Free and on every survey from Starter.

The 4 questions, one by one

What each question asks, why it is there, what it shows you and what to change.

Question 1 of 4 · Multiple choice

What would you like to share?

Why ask it
Visitors pick the kind of message first, which sorts every message before anyone reads it and tells your team who should take it.
What you learn
A donut with the share and count of problems, ideas, compliments and questions, against the period before. Select Report a problem to see only those messages and their screenshots.
Make it yours
Rename the options to match how your teams work, such as Report a bug and Request a feature, and keep the list short.
Question 2 of 4 · Text

Tell us more

Why ask it
The details carry the message itself, so this question is required. A visitor who opened the button already has something to say.
What you learn
Each message with its sentiment and theme, filterable by theme, with up to 8 themes and their trends. Usertick also marks each message's type and urgency, which can differ from the option the visitor picked.
Make it yours
Add a placeholder that asks for the useful details, such as what you were trying to do and what happened instead.
Question 3 of 4 · Screenshot · Optional

Add a screenshot (optional)

Why ask it
A screenshot shows the broken layout or the error message in one picture and saves a round of questions. Visitors capture the whole screen or pick one element, then mark it up with a pen, arrows or boxes.
What you learn
A gallery of every screenshot, next to the message it came with. Password, card and one-time code fields are always blurred out.
Make it yours
Free allows 1 screenshot question per survey, so this template runs as it is on every plan.
Question 4 of 4 · Contact · Optional

Leave your email if you'd like a reply (optional)

Why ask it
Some visitors want an answer and some only want to report. An optional email lets the first group ask for a reply without making the others sign anything.
What you learn
A table of names and emails, and each email becomes the visitor's email on the response in the inbox.
Make it yours
Give every message that left an email an owner in the inbox, and reply within a working day.

What the answers show

Results turns each question into numbers you can follow week by week.

What would you like to share?

The share of each answer with its count. Select an answer to narrow the whole page to those people and read what else they said.

Every written answer, read for you

Each answer arrives with its category, theme, type and urgency, so the urgent ones reach your team first.

Use this template in four steps

From the template to the first answers.

  1. 1

    Open the template

    Sign up free and pick Website feedback button in the template gallery. It opens in a matching style, ready to change.

  2. 2

    Make the questions yours

    Reword any question, change the options, and add logic or more questions.

  3. 3

    Choose where it runs

    Show it on your website, send it by email, share its link and QR code, or switch it to a conversation.

  4. 4

    Publish and read the answers

    Answers arrive in Results and the inbox as people send them, each written one read and filed by Usertick.

Tips for this survey

Small choices that keep people answering and the answers useful.

  1. 01

    Keep the button on every page

    Leave the included pages empty, so the tab shows across the site, and exclude only pages where it would get in the way, such as checkout.

  2. 02

    Route each kind of message

    On every plan, a workflow posts problems to Slack or Microsoft Teams. From Starter, it can also create a Jira or Linear issue with the screenshot attached.

  3. 03

    Know who sent it

    In a web app, pass the signed-in user's plan and role with Usertick.identify(), so each message arrives with who sent it and your team can reply in context.

  4. 04

    Close the loop on fixes

    When a reported problem is fixed, set the response's status in the inbox and write to the visitors who left an email, so they know their report led to a change.

Product feedbackWebsite surveysResearch questions

More product feedback templates and questions

Templates like this one, and single questions from the library to add to it.

Templates

Browse all templates
ProductFeature satisfactionRate satisfaction across the main parts of your product and see where users would spend your next improvement. Send it to active users twice a year.
ProductWebsite usabilityFind out whether visitors can do what they came to do and where your site gets in the way. Show it after a minute on the site, or on exit intent.
ProductAccessibility checkLearn which assistive tools your users rely on and where your product gets in their way. Link it from your accessibility statement.
ProductLanguage preferenceFind out which languages your users would rather use and how good your current translation is. Show it to visitors whose browser language you don't support yet.

Questions from the library

Browse the question library
  1. What problem were you trying to solve?Text · Research
  2. How do you handle this today?Text · Research
  3. How often does this come up?Dropdown · Research
  4. Can we contact you about your feedback?Consent · Consent and next steps
  5. Can we follow up by email?Consent · Consent and next steps
  6. Would you join a short user interview?Consent · Consent and next steps

Frequently asked questions

The tab is hidden on screens 480 px wide or narrower. To hear from phone visitors, duplicate the survey as a popup for mobile devices, opened by a trigger such as a delay, exit intent or, from Starter or on 1 survey on Free, a rage click.

None. The side button and the choice, details and email questions work on Free, and Free allows 1 screenshot question per survey.

Yes, on every plan. A workflow creates a Jira or Linear issue from each problem report, with the screenshot attached. A workflow can also post the reports to Slack or Microsoft Teams instead.

A popup asks visitors at a moment you choose. The button waits until a visitor has something to say, so its messages are about problems and ideas visitors noticed on their own.

Password, card, CVC, expiry and one-time code fields are always blurred out. You can also mask or hide any element on your pages with data-usertick-mask and data-usertick-ignore.

Yes. Every template comes with every plan, the free plan included, and the free plan covers 150 responses a month across your surveys.

Yes. The template becomes your own survey, so reword any question, add or remove questions, and change the options and the logic. The gallery stays as it is.

Yes, from Starter. The template is written in US English. Add languages by hand or with AI translation, and each person sees the survey in their browser's language.

Listen better, act faster, and build what truly matters.

Start free, see what your customers mean, and get each answer to the person who can act on it.

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  • 150 responses a month on Free
  • Every channel and AI analysis
  • No card needed