Pairs importance with satisfaction across four service topics — quality, responsiveness, value and convenience — so 16 weighted items expose which driver dissatisfaction actually comes from, with a scored PDF report.
Quick answer
Pairs importance with satisfaction across four service topics — quality, responsiveness, value and convenience — so 16 weighted items expose which driver dissatisfaction actually comes from, with a scored PDF report.
A single satisfaction number hides the only useful question: where is it coming from? This diagnostic pairs importance with satisfaction on four service topics — Quality, Responsiveness, Value and Convenience — sixteen weighted 1–5 statements in eight scored dimensions, plus a respondent name field. The AI PDF report bands each dimension, so a topic that matters greatly but scores low is visible as the dissatisfaction source rather than being averaged away, and the ranking gives each dimension an owner and a next move.
Live form and AI report preview — fill it in and the report is generated from your answers.
Everything you need to run this template.
Each topic scored twice — how much it matters, how well it lands.
Quality, responsiveness, value and convenience in eight dimensions.
Where dissatisfaction actually lives, ordered by gap.
Banded scores and an interpretation per dimension.
From copy to deliverable in four steps.
Copy the diagnostic into your FormLM workspace — free.
One respondent or team view per run.
Topics rated important but landing low are the target.
Fix the ranked dimension first.
Pick your role — see how it fits your workflow.
Dissatisfaction with a location.
Know which driver owns the churn.
Quarterly diagnostic in one sitting.
What makes this template work as a professional deliverable.
A preview of real questions — the full version adds scoring and a personalized report per respondent.
