The tutorial guides the creation of a customer satisfaction survey system using Twilio Programmable Voice and PHP. The process involves setting up a database, creating models for surveys, questions, customers' phone numbers, and ratings, as well as implementing routing, autoloading, and user interface functionality. The application allows users to create surveys, add customers' phone numbers, and initiate voice calls using Twilio's Programmable Voice API. Upon completion of the survey, customers provide feedback by pressing digits 1-5 on their phones, which are then saved in the database. The system also includes a UI for viewing created surveys, customer feedback responses, and troubleshooting guides to help users resolve issues.