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Restaurant Allergen Safety & Communication Experience Survey

Measures diners' experiences with allergen communication, cross-contact prevention, and staff responsiveness to identify gaps in restaurant food safety practices and strengthen guest trust.

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23問・約10分
Q01
メッセージ

Welcome! This survey explores your experiences with restaurant dining and food allergy communication. It takes approximately 11 minutes to complete. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers—we are interested in your honest opinions. All responses are anonymous and will be reported in aggregate to help improve allergen safety practices in restaurants. Thank you for participating.

Q02
選択式

How often do you dine at restaurants (eat-in) in a typical month?

  • Daily or almost daily
  • A few times per week
  • About once per week
  • 2–3 times per month
  • About once per month
  • Less than once per month
Q03
選択式

Which best describes your situation regarding food allergies or sensitivities?

  • I have a diagnosed food allergy
  • I have a food intolerance or sensitivity
  • I regularly dine with someone who has a food allergy
  • I do not have allergies or sensitivities relevant to dining
Q04
選択式

Before choosing a place to eat, which sources do you check for allergy information? (Select all that apply.)

  • Restaurant website allergen info
  • Menu or tags on delivery apps
  • Call ahead to ask
  • Reviews or allergy forums
  • Social media posts
  • I usually don't check in advance
Q05
オピニオンスケール

When dining out, how often do you inform restaurant staff about food allergy or sensitivity needs?

スケール: 1 – 7
最小:Never最大:Always
Q06
ランク付け

Rank the following improvements from most to least important for allergy-safe dining.

  1. Clear, standardized menu labels
  2. Staff training on allergens and cross-contact
  3. Separate prep area/equipment for allergens
  4. Ingredient transparency from suppliers
  5. Allergen filters on online menus
ドラッグして順位を付ける
Q07
AIインタビュー

We'd like to understand more about your dining safety experiences. A few brief follow-up questions will appear based on your earlier responses.

Q08
選択式

What is your age group?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q09
メッセージ

Thank you for your time—your feedback will help improve allergen safety practices in restaurant dining.

Q10
選択式

Which type of restaurant or food service do you use most often?

  • Casual dine-in
  • Fast casual / quick service
  • Fine dining
  • Cafes / coffee shops
  • Food trucks / markets
  • Takeout / delivery
  • Hotel restaurants
  • Campus / workplace cafeterias
  • Other (please specify)
Q11
選択式

Which allergens are relevant to you or your dining party when eating out? (Select all that apply.)

  • Milk / dairy
  • Eggs
  • Peanuts
  • Tree nuts
  • Fish
  • Shellfish
  • Soy
  • Wheat / gluten
  • Sesame
  • Other (please specify)
  • Not applicable
Q12
選択式

Which methods are most helpful for restaurants to communicate allergen information? (Select all that apply.)

  • Menu symbols or icons
  • Allergen matrix or binder on request
  • Digital menus with allergen filters
  • Servers proactively ask about allergies
  • Chef or manager available to discuss
  • Dedicated allergen-friendly menu
  • Table or counter signage
  • Detailed ingredient lists on website
Q13
オピニオンスケール

How confident are you that the restaurants you visit manage allergen cross-contact safely?

スケール: 1 – 7
最小:Not at all confident最大:Extremely confident
Q14
選択式

If a restaurant could fully assure allergy-safe handling, how much extra would you be willing to pay as a percentage of your meal price?

  • 0% — I would not pay extra
  • 1–5%
  • 6–10%
  • 11–15%
  • 16–20%
  • More than 20%
Q15
自由回答(長文)

Based on your responses in this survey, please share any additional thoughts or suggestions for how restaurants can better support safe, confident dining for guests with food allergies.

Q16
選択式

Which of the following best describes your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q17
選択式

What reaction severity do you typically plan for when choosing a restaurant?

  • Mild (e.g., stomach upset, mild rash)
  • Moderate (e.g., hives, swelling)
  • Severe (e.g., anaphylaxis)
  • Not sure / varies
  • Not applicable
Q18
オピニオンスケール

How clear is the allergen information on physical menus at restaurants you visit?

スケール: 1 – 7
最小:Not at all clear最大:Extremely clear
Q19
選択式

In the last 12 months, did you experience an allergy-related mistake at a restaurant?

  • Yes, resulted in a reaction
  • Yes, but caught before eating
  • No
  • Prefer not to say
Q20
プルダウン

Where do you currently live?

  • Africa
  • Asia
  • Australia / Oceania
  • Europe (incl. UK)
  • Middle East
  • North America
  • South America
  • Central America / Caribbean
Q21
オピニオンスケール

How clear is the allergen information on restaurant websites or delivery apps?

スケール: 1 – 7
最小:Not at all clear最大:Extremely clear
Q22
オピニオンスケール

Thinking about your most recent dine-in visit, how satisfied were you with how staff handled allergy-related requests or questions?

スケール: 1 – 5
最小:Very dissatisfied最大:Very satisfied
Q23
オピニオンスケール

How clear is the allergen information communicated verbally by restaurant staff?

スケール: 1 – 7
最小:Not at all clear最大:Extremely clear

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。

よくあるご質問

「Restaurant Allergen Safety & Communication Experience 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23問含まれており、最初の設問は次のとおりです:「Welcome! This survey explores your experiences with restaurant dining and food allergy communication. It takes approxima…」・「How often do you dine at restaurants (eat-in) in a typical month?」・「Which best describes your situation regarding food allergies or sensitivities?」。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、23問を約10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。

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