This is designed to collect data on consumer preferences, behaviors, and opinions. This template can be tailored for specific industries or research goals.
Purpose: To gather insights into consumer preferences, purchasing habits, and opinions to help improve products/services.
Instructions: Please answer the following questions honestly. Your responses will remain confidential.
[ ] 55+
What is your gender?
[ ] Prefer not to say
What is your household income?
[ ] $100,000+
Where do you live?
[ ] In-store or event
How familiar are you with our brand?
[ ] Not familiar at all
Which of the following do you associate with our brand? (Select all that apply)
[ ] Rarely
What is your typical budget for products/services in this category?
[ ] $100+
Where do you usually make your purchases?
What factors influence your purchasing decisions the most? (Rank from 1-5)
On a scale of 1–5, how satisfied are you with our product/service?
What do you like the most about our product/service?
(Open-ended)
What areas do you think we could improve on?
(Open-ended)
How likely are you to recommend our product/service to others?
What other brands or products do you frequently purchase in this category?
(Open-ended)
What features or services are most important to you in this category?
(Open-ended)
Which communication channels do you prefer for receiving updates/offers from us?
Would you like to participate in further research (e.g., focus groups, interviews)?
- [ ] Yes (Please provide your email/contact information: ______)
- [ ] No
Thank you for taking the time to provide your feedback. Your input is valuable in helping us improve our products and services!