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Healthcare & Clinical

AI Therapist Chatbot Experience and Trust Survey

Measures how people actually use an AI therapist chatbot, how helpful and trustworthy they find it, and whether it has ever felt unsafe or judgmental — for product and clinical safety teams. The AI follow-up interview reconstructs a specific real conversation instead of relying on vague satisfaction ratings.

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設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全13問・約7分
Q01
メッセージ

Hi! We're trying to understand how people actually experience (Replace with your chatbot's name) — the good, the unhelpful, and anything that felt off. This takes about 5 minutes and your answers are confidential. There's no judgment here, honest answers help us the most.

Q02
選択式必須

In the last 30 days, how often have you used this chatbot?

  • Daily
  • A few times a week
  • About once a week
  • A few times this past month
  • This is my first time using it
Q03
選択式必須

What do you typically use the chatbot for? Select all that apply.

  • General stress relief
  • Managing anxiety
  • Coping with depression or low mood
  • Working through a specific problem or decision
  • Loneliness or wanting someone to talk to
  • Filling the gap between human therapy sessions
  • Crisis or urgent emotional support
  • Just curious or testing it out
Q04
マトリクス必須

How much do you agree with each statement about your experience with the chatbot?

5行 × 5列
  • It understood what I was trying to say
  • I felt judged by its responses
  • I trust its suggestions almost as much as advice from a person
  • I feel comfortable sharing sensitive or embarrassing topics with it
  • I would recommend it to someone who is struggling emotionally
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
オピニオンスケール必須

Overall, how helpful has (Replace with your chatbot's name) been in helping you cope with what you're going through?

スケール: 1 – 7
最小:Not at all helpful最大:Extremely helpful
Q06
ベスト・ワースト選択（MaxDiff）必須

Which of these matter most to you when you choose to talk to the chatbot instead of a person?

  • Available 24/7
  • No cost or low cost
  • Anonymity and privacy
  • Non-judgmental tone
  • Immediate response, no waiting
  • Personalized suggestions
  • No appointment or waiting list needed
  • Feels like talking to a real therapist
各セットで最も良いもの・最も悪いものを選択最も良い:Matters most to me最も悪い:Matters least to me
Q07
選択式必須

Has the chatbot ever given you a response that felt unsafe, inappropriate, or unhelpful for what you were going through?

  • Yes
  • No
  • Not sure
Q08
オピニオンスケール必須

How likely are you to recommend this chatbot to someone else facing similar struggles?

スケール: 0 – 10
最小:Not at all likely最大:Extremely likely
Q09
AIインタビュー

If the respondent flagged a response that felt unsafe, inappropriate, or unhelpful, reconstruct exactly what they typed, what the chatbot said back, and what they did next — ignored it, sought a human, kept using the app, or stopped. If they didn't flag one, probe the single most meaningful conversation they've had with the chatbot: what they were going through, what it said that landed or fell flat, and what a human therapist might have done differently in that same moment. Push past generic 'it helped' or 'it's fine' answers for concrete detail.

Q10
選択式

If a human therapist were just as affordable and available as this chatbot, what would you do?

  • Switch to a human therapist
  • Keep using the chatbot instead
  • Use both
  • Not sure
Q11
選択式

What's your relationship to human therapy right now?

  • Currently seeing a human therapist
  • Have seen one in the past, but not currently
  • Never seen a human therapist
  • Prefer not to say
Q12
選択式

Which age range do you fall into?

  • Under 18
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65+
  • Prefer not to say
Q13
メッセージ

Thank you for sharing this with us — especially anything that felt uncomfortable to admit. Your answers will be used to make the chatbot safer and more genuinely helpful, and any flagged safety concerns will be reviewed by our clinical team.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Reconstructs a specific real conversation the respondent had with the chatbot via an AI follow-up interview, rather than asking them to rate 'satisfaction' in the abstract
  • Directly asks whether the chatbot ever felt unsafe, inappropriate, or judgmental, and routes flagged respondents into a deeper AI-driven follow-up on that exact incident — built for clinical safety review, not just product feedback
  • Combines usage frequency, use-case selection, a matrix of trust/agreement statements, and a max-diff on why people choose the bot over a human, giving product and clinical teams multiple angles in one instrument
  • Closes with context on the respondent's relationship to human therapy, so 'would you recommend this over a therapist' answers can be interpreted correctly

SurveySparrow

Therapist Chatbot | Template for Counsellors

This is a static, fielding-ready survey template aimed at counsellors gathering feedback on a therapist chatbot, so it's a genuine topical match. It appears built around fixed question sets rather than reconstructing individual conversations, and is framed more generally for counsellor use than specifically for product/clinical safety teams flagging unsafe responses.

優れている点

  • Purpose-built specifically for therapist chatbot feedback, giving it direct topical relevance
  • Framed for counsellors, suggesting language and question framing suited to a therapeutic context
  • Likely quick to deploy given SurveySparrow's template-driven form builder

物足りない点

  • No indication of adaptive AI follow-up questioning — respondents who flag an unsafe or unhelpful moment likely can't be probed further on that specific exchange
  • No visible mechanism for reconstructing what actually happened in a specific conversation, relying instead on standard rating-style questions
  • No published methodology or prompt transparency for how any AI-assisted elements (if present) generate or score responses

よくあるご質問

「AI Therapist Chatbot Experience and Trust Survey」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が13問含まれており、最初の設問は次のとおりです：「Hi! We're trying to understand how people actually experience (Replace with your chatbot's name) — the good, the unhelpf…」・「In the last 30 days, how often have you used this chatbot?」・「What do you typically use the chatbot for? Select all that apply.」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、13問を約7分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

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