Generate a free HTML survey form with ratings, multiple choice and comments. Copy-paste code, spam filtering and email results, no signup.
<form action="🔥🔥🔥 CHANGE THIS 🔥🔥🔥" method="POST" class="formbackend-form">
<div class="formbackend-field">
<label for="name">Your Name</label>
<input type="name" id="name" name="name" placeholder="John Doe" required="true">
</div>
<div class="formbackend-field">
<label for="email">Your Email</label>
<input type="email" id="email" name="email" placeholder="johndoe@example.com" required="true">
</div>
<div class="formbackend-field">
<label for="phone_number">Your Phone Number</label>
<input type="text" id="phone_number" name="phone_number" placeholder="### ### ####" required="true">
</div>
<div class="formbackend-field">
<label for="are_you_satisfied">Are you satisfied with the service provided?</label>
<select id="are_you_satisfied" name="are_you_satisfied">
<option value="strongle_agree">Strongly Agree</option>
<option value="agree">Agree</option>
<option value="neutral">Neutral</option>
<option value="disagree">Disagree</option>
<option value="strongly_disagree">Strongly Disagree</option>
</select>
</div>
<div class="formbackend-field">
<label for="additional_comments">Additional Comments</label>
<textarea id="additional_comments" name="additional_comments" placeholder="Your message..." required="true"></textarea>
</div>
<div class="formbackend-field">
<button type="submit">Send</button>
</div>
</form>
<style>
@import url('https://fonts.googleapis.com/css2?family=Inter:wght@400;500&display=swap');
.formbackend-form { width: 100%; max-width: 400px; font-family: "Inter", ui-sans-serif, system-ui, -apple-system, "Segoe UI", Roboto, "Helvetica Neue", Arial, sans-serif; font-size: 14px; font-weight: 400; color: #111827; line-height: 24px; background: #ffffff; }
.formbackend-form .formbackend-field:not(:first-child) { margin-top: 16px; }
.formbackend-form label { display: block; font-weight: 500; color: #374151; margin-bottom: 4px; }
.formbackend-form textarea, .formbackend-form input, .formbackend-form select { width: 100%; border: 1px solid #d1d5db; border-radius: 6px; box-sizing: border-box; display: block; font-family: inherit; font-size: 14px; padding: 10px 12px; background: #ffffff; color: #111827; }
.formbackend-form textarea { min-height: 100px; }
.formbackend-form input[type='checkbox'] { width: 15px; height: 15px; margin: 0 8px 0 0; display: inline-block; }
.formbackend-form .form-checkbox { display: flex; align-items: center; }
.formbackend-form ::placeholder { color: #9ca3af; opacity: 1; }
.formbackend-form button { background-color: #111827; color: #ffffff; border: none; border-radius: 6px; cursor: pointer; padding: 10px 20px; font-weight: 500; font-family: inherit; font-size: 14px; }
.formbackend-form button:hover { opacity: 0.9; }
</style>
<form action="🔥🔥🔥 CHANGE THIS 🔥🔥🔥" method="POST" class="formbackend-form">
<div class="formbackend-field">
<label for="name">Your Name</label>
<input type="name" id="name" name="name" placeholder="John Doe" required="true">
</div>
<div class="formbackend-field">
<label for="email">Your Email</label>
<input type="email" id="email" name="email" placeholder="johndoe@example.com" required="true">
</div>
<div class="formbackend-field">
<label for="phone_number">Your Phone Number</label>
<input type="text" id="phone_number" name="phone_number" placeholder="### ### ####" required="true">
</div>
<div class="formbackend-field">
<label for="are_you_satisfied">Are you satisfied with the service provided?</label>
<select id="are_you_satisfied" name="are_you_satisfied">
<option value="strongle_agree">Strongly Agree</option>
<option value="agree">Agree</option>
<option value="neutral">Neutral</option>
<option value="disagree">Disagree</option>
<option value="strongly_disagree">Strongly Disagree</option>
</select>
</div>
<div class="formbackend-field">
<label for="additional_comments">Additional Comments</label>
<textarea id="additional_comments" name="additional_comments" placeholder="Your message..." required="true"></textarea>
</div>
<div class="formbackend-field">
<button type="submit">Send</button>
</div>
</form>
<style>
@import url('https://fonts.googleapis.com/css2?family=Inter:wght@400;500&display=swap');
.formbackend-form { width: 100%; max-width: 400px; font-family: "Inter", ui-sans-serif, system-ui, -apple-system, "Segoe UI", Roboto, "Helvetica Neue", Arial, sans-serif; font-size: 14px; font-weight: 400; color: #111827; line-height: 24px; background: #ffffff; }
.formbackend-form .formbackend-field:not(:first-child) { margin-top: 16px; }
.formbackend-form label { display: block; font-weight: 500; color: #374151; margin-bottom: 4px; }
.formbackend-form textarea, .formbackend-form input, .formbackend-form select { width: 100%; border: 1px solid #d1d5db; border-radius: 6px; box-sizing: border-box; display: block; font-family: inherit; font-size: 14px; padding: 10px 12px; background: #ffffff; color: #111827; }
.formbackend-form textarea { min-height: 100px; }
.formbackend-form input[type='checkbox'] { width: 15px; height: 15px; margin: 0 8px 0 0; display: inline-block; }
.formbackend-form .form-checkbox { display: flex; align-items: center; }
.formbackend-form ::placeholder { color: #9ca3af; opacity: 1; }
.formbackend-form button { background-color: #111827; color: #ffffff; border: none; border-radius: 6px; cursor: pointer; padding: 10px 20px; font-weight: 500; font-family: inherit; font-size: 14px; }
.formbackend-form button:hover { opacity: 0.9; }
</style>
Gathering customer feedback is essential for improving your product or service. This generator creates an HTML survey form with rating scales, text areas for open-ended responses, and common survey fields that you can customize to match your needs.
The generated survey form works on any website without requiring a third-party survey platform. Submissions go directly to your FormBackend inbox or email, so you own all your response data and can export it anytime.
Need a different kind of form? This is one of several form types you can build with our free HTML form generator — start there to compare contact, survey, booking, registration, and order form templates in one place.
This generator creates single-page survey forms. For multi-step forms, you can use the generated code as a starting point and add step logic with JavaScript.
FormBackend stores all submissions in a searchable dashboard. You can filter responses, view them individually, or export everything as CSV for analysis in a spreadsheet.
Yes. The generated HTML can be extended with radio buttons, checkboxes, range inputs, or select dropdowns to create any question type you need.
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Generate a free HTML survey form with ratings, multiple choice and comments. Copy-paste code, spam filtering and email results, no signup.