Unsubscription Survey (this is why I don’t give relationship advice)

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My friend and I were talking the other day, and we’ve decided that a survey could be quite applicable in certain circumstances. When answered honestly, surveys can be quite helpful. When answered dishonestly, well, let’s just say that I didn’t hear of your company from the Easter Bunny.

The certain circumstance were were discussing, however, was the cessation of a relationship. Bonus points for diplomatic phrasing. Wouldn’t it be awesome if you could just send your ex-significant-other a form and ask her or him to fill it out? I mean, it works for KFC.

Luckily for you, we thought of a few questions that might go well on such a survey! Me, being the geek that I am, decided to create a form just for that purpose. (Notice that I said create, and mentioned nothing about implementation.)  Feel free to use this whenever you wish. It’s downloadable and fillable on the computer. 

Good day!