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Health

Customer Health Score

Also known as: Customer Health Index, Account Health

A composite score that evaluates the overall health of a customer relationship, typically combining product usage, engagement quality, support sentiment, and business outcomes into a single indicator.

Formula

Varies — typically a weighted combination of: Product usage signals (30-40%) + Engagement frequency and quality (20-30%) + Support ticket sentiment and volume (15-20%) + Business outcome achievement (15-20%)

Who Is This Metric For?

CSM

Check daily to identify at-risk accounts and prioritize outreach to declining health scores.

CS Manager

Review weekly to spot portfolio-level health trends and allocate resources to struggling segments.

VP/Director of CS

Track aggregate health distribution as a leading indicator of future retention and expansion.

Product Manager

Correlate health score components with product usage to identify features that drive customer success.

Priority by Stage

Crawl medium

Start simple. Even a 3-color RAG status (red/amber/green) based on 3 signals is better than nothing. Don't over-engineer it.

Walk high

Build a real health score with 5–7 weighted inputs. The key is consistency — every CSM should assess health the same way.

Run high

Health scores should be automated and trigger workflows. Focus on predictive accuracy — does your score actually predict churn?

Fly high

Health scoring should be ML-enhanced, validated against outcomes, and continuously calibrated.

Health Score Components by Stage

Crawl

Recommended Inputs

  • Product login frequency
  • Support ticket volume
  • CSM sentiment (gut feel, documented)

Scoring Method

Simple RAG (Red/Amber/Green) updated monthly by CSM

What to Skip

Don't try to build a 10-factor weighted model. It will be inaccurate and nobody will maintain it.

Walk

Recommended Inputs

  • Product usage depth (feature adoption, not just logins)
  • Engagement recency and quality
  • Support ticket sentiment
  • Stakeholder relationship strength
  • Contract and renewal status

Scoring Method

Weighted score (0–100) with defined thresholds for healthy/at-risk/critical

What to Skip

Don't add NPS as a health input yet unless you have reliable, frequent NPS data. Annual NPS is too lagging.

Run

Recommended Inputs

  • Product usage trends (not just current state)
  • Multi-stakeholder engagement map
  • Support trend analysis
  • Business outcome achievement vs. success plan
  • Expansion readiness signals
  • Executive sponsor engagement

Scoring Method

Automated composite score with trend indicators and automated alerts at threshold crossings

What to Skip

Don't rely solely on automated scores — keep a CSM override mechanism for qualitative signals the data can't capture.

Fly

Recommended Inputs

  • All Run-stage inputs plus: Predictive churn probability
  • Customer effort score trends
  • Product usage relative to peer cohort
  • Advocacy and referral activity
  • Multi-product adoption depth

Scoring Method

ML-driven predictive health with cohort benchmarking, anomaly detection, and confidence intervals

What to Skip

Don't black-box the model. CSMs need to understand why the score is what it is, or they won't trust it.

Common Mistakes

  • Building a complex health score before you have reliable data inputs — garbage in, garbage out
  • Making health scores entirely subjective (CSM opinion) or entirely objective (data only) — the best scores blend both
  • Not validating the score against actual outcomes — if red accounts aren't churning more than green accounts, your score is broken
  • Updating health scores too infrequently — monthly is minimum, weekly is better for high-touch accounts

Used in Playbooks

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