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Annual Retail & Dealer Satisfaction Survey Template (Free Questionnaire + Action Mapping)

Nov 11 2026

Quick answer: This is a free, field-ready annual retail and dealer satisfaction survey template — eight sections, sample questions, how to score it, and, most importantly, how each answer maps to an action you can take. A satisfaction survey is only worth running if it ends in decisions, so this template is built backwards from the actions, not the questions.
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★ Winner, National Startup Award (Govt. of India)Retail & channel fieldwork across 26 states

Use this template to run an annual satisfaction survey on the retailers or distributors who carry your brand. Keep it short — 20 to 25 questions, ten minutes — lead with closed questions you can score, and end with one open question. Each section below gives you sample questions and the decision it feeds, so the finished survey produces an action plan, not just a number. For how the output should look, see the satisfaction survey report template; for the live service, the retailer and dealer & distributor satisfaction surveys.

The template: eight sections

1. Respondent profile

Classification data so you can cut the results later.

  • Outlet / firm name, type and location (captured + geo-tagged)
  • Years dealing with your brand; your brand’s share of their business (band)
  • Other brands they carry in your category

→ Turns into: the segments you slice every other score by — by state, outlet type, tenure and brand-share.

2. Overall satisfaction & loyalty

The headline scores, asked early.

  • Overall, how satisfied are you dealing with [brand]? (1–5)
  • How likely are you to recommend [brand] to another retailer/dealer? (0–10 — your channel NPS)
  • Do you intend to keep [brand] as a primary line next year? (Yes / Maybe / No)

→ Turns into: your satisfaction index and churn-risk list — the year-on-year headline for leadership.

3. Product availability & supply

  • How often is your required stock available on time? (Always…Never)
  • How satisfied are you with order-to-delivery time and fill rates?
  • How often do you lose a sale because [brand] is out of stock?

→ Turns into: a distribution / forecasting / beat-coverage fix where scores are low.

4. Margins, schemes & credit

  • How fair are [brand]’s margins versus competing brands? (1–5)
  • How satisfied are you with schemes, offers and their timely settlement?
  • How satisfied are you with credit terms?

→ Turns into: a pricing / scheme / credit-policy review for the segments that score worst.

5. Service & field-team

  • How regularly does your [brand] salesperson visit? Is it enough?
  • How satisfied are you with how complaints and returns are handled?
  • How would you rate the behaviour and helpfulness of the field team?

→ Turns into: field-team training, a beat-plan change, or a complaints-process fix.

6. Merchandising & support

  • How satisfied are you with branding, displays and POS material?
  • Do you get enough marketing / demand-generation support?

→ Turns into: a merchandising / trade-marketing investment decision by region.

7. Competitor comparison

  • Which competing brand serves you best, and on what? (open or coded)
  • What does that competitor do that [brand] does not?

→ Turns into: the specific competitive gaps to close — the intelligence you never get internally.

8. Open: what should we fix?

  • If [brand] could change one thing for you, what would it be? (voice or text)

→ Turns into: the verbatim quotes that make leadership act — and themes you can count.

How to score it

Report three things, cut by the segments from Section 1: a satisfaction index (average, or top-2-box % on the 1–5 scales), a channel NPS (promoters minus detractors on the 0–10), and the churn-risk list (anyone answering “Maybe/No” to intent). The value is in the cuts — which states, outlet types and tenures are unhappy — because that is where the action goes.

From the template to a decision

Each low-scoring section already points at an owner and an action (see the “turns into” lines). The final step is to rank them — biggest satisfaction drag first, weighted by how many of your channel it affects — into a short, owned action plan. That ranked plan is the real output; the score is just how you got there. The report template shows the format.

AnaxeeWant the editable template — and someone to run it?

Anaxee can share an editable version tailored to your channel and run the whole survey on the ground across 540 districts, with the action plan at the end.

Book a meeting

How Anaxee helps

Anaxee — India’s Reach Engine, a National Startup Award winner — adapts this template to your brand, draws the sample, and runs it in person across 540 districts in the local language, every response geo-tagged and verified on a live dashboard — then delivers the ranked action plan. It is part of an annual satisfaction survey programme.

Get the editable retail/dealer satisfaction template

Tell us your category and channel — we will tailor the template and get back within one working day.

    Frequently asked questions

    How many questions should an annual retail satisfaction survey have?
    Keep it to roughly 20–25 questions, about ten minutes — long enough to cover the eight sections, short enough that a busy retailer finishes it properly. Lead with closed questions you can score and end with one open question.
    What is the difference between this and a retail audit?
    A retail audit records what is on the shelf; this satisfaction survey records what the retailer or dealer thinks about dealing with you. Run together, one shows the state of the shelf, the other explains it.
    How do we make sure it produces actions, not just a score?
    By mapping each section to a decision up front — the “turns into” lines in this template — and ending with a ranked action plan in the report. Score first, then the fixes attached to the lowest-scoring, widest-reaching drivers.
    Can you run it for us?
    Yes — Anaxee tailors the template and runs the whole survey on the ground across India, independently, and delivers the report and action plan. See the dealer & distributor and retailer satisfaction surveys.

    The bottom line

    A retail or dealer satisfaction survey earns its keep only if it changes something. Build it backwards from the decisions — as this template does — keep it short, score the closed questions, and end with a ranked action plan. Use it yourself, or have Anaxee run it independently across India.

    AnaxeeTalk to Anaxee — whichever way is easiest

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    Written by the founder

    Govind Agrawal is the Founder & CEO of Anaxee Digital Runners — India’s Reach Engine. He writes on last-mile reach across Bharat, go-to-market, field data and climate-tech execution.

    More from Govind Agrawal → govindagrawal.com

    Anaxee Digital Runners