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Restaurant Allergen Safety & Trust Survey

Measures diners' confidence in restaurant allergen communication, cross-contact prevention, and safety practices. Designed for consumers who manage food allergies or dine with someone who does.

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19問・約9分
Q01
メッセージ

Welcome to this survey about food allergy safety in restaurants. We are interested in your honest experiences and opinions — there are no right or wrong answers. Your participation is entirely voluntary and you may stop at any time. All responses are confidential and will be reported only in aggregate. This survey takes approximately 5–7 minutes to complete.

Q02
プルダウン

In the past 3 months, how often have you dined at restaurants?

  • I have not dined at a restaurant
  • Less than once per month
  • About once per month
  • 2–3 times per month
  • About once per week
  • A few times per week
  • Daily or almost daily
Q03
オピニオンスケール

When dining out in the past 6 months, how often did you or your dining party inform your server about food allergy needs?

スケール: 1 – 5
最小:Never最大:Every time
Q04
オピニオンスケール

How clear has allergen information on menus been at the restaurants where you have dined in the past 6 months?

スケール: 1 – 7
最小:Not at all clear最大:Extremely clear
Q05
自由回答(長文)

Based on your experiences, what could restaurants do to better support safe dining for people with food allergies? Please be as specific as possible.

Q06
プルダウン

What is your age?

  • Under 18
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q07
メッセージ

Thank you for completing this survey! Your responses will help improve food allergy safety practices in restaurants. Your answers are confidential and will be reported only in aggregate.

Q08
選択式

Which of the following describe your dining experiences in the past 12 months? (Select all that apply)

  • I have a diagnosed food allergy
  • I have a suspected food allergy or intolerance
  • I avoid certain foods for non-allergy reasons (e.g., dietary preference, religious observance)
  • I regularly dine with someone who has a food allergy
  • None of these
Q09
オピニオンスケール

When dining out in the past 6 months, how often did you or your dining party check the menu for allergen information before ordering?

スケール: 1 – 5
最小:Never最大:Every time
Q10
オピニオンスケール

Overall, how confident are you that restaurant staff properly handle food allergy requests?

スケール: 1 – 7
最小:Not at all confident最大:Extremely confident
Q11
AIインタビュー

We'd like to understand your experiences with food allergy safety in restaurants in more depth. Please share your thoughts and our AI moderator will ask a couple of follow-up questions.

Q12
選択式

Which gender do you identify with?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q13
選択式

Which allergens do you or your usual dining party need to avoid? (Select all that apply)

  • Peanuts
  • Tree nuts
  • Milk/dairy
  • Eggs
  • Soy
  • Wheat/gluten
  • Fish
  • Shellfish
  • Sesame
  • Sulfites
  • Other (please specify)
  • None of these
Q14
オピニオンスケール

When dining out in the past 6 months, how often did you or your dining party ask staff about food preparation methods or cross-contact risks?

スケール: 1 – 5
最小:Never最大:Every time
Q15
オピニオンスケール

How much do you trust restaurants in your area to safely prepare meals for diners with food allergies?

スケール: 1 – 7
最小:Do not trust at all最大:Trust completely
Q16
選択式

In which region do you most often dine out?

  • North America
  • South America
  • Europe
  • Africa
  • Middle East
  • Asia
  • Oceania
  • Prefer not to say
Q17
選択式

Which of the following ways do you prefer to communicate allergy needs to a restaurant? (Select all that apply)

  • Tell the server in person
  • Add notes to an online order
  • Call ahead before arriving
  • Add notes to a reservation
  • Ask to speak with a manager
  • Provide a printed allergy card
  • Use a restaurant's allergy-specific ordering system
  • Other (please specify)
Q18
選択式

In the past 12 months, what is the most serious allergy-related incident you or your dining party experienced while eating at a restaurant?

  • No incidents
  • Suspected cross-contact but no symptoms
  • Mild reaction managed without medication
  • Reaction requiring medication (e.g., antihistamine, epinephrine)
  • Severe reaction requiring urgent medical care
  • Prefer not to say
Q19
ランク付け

Please rank the following features from most to least important in making you feel safe when dining with food allergies.

  1. Clearly marked allergens on the menu
  2. Staff explicitly repeat back allergy notes
  3. Server or manager confirms with the kitchen
  4. Evidence of separate prep area or tools
  5. Chef or manager visits the table to discuss
  6. Dedicated fryers or cooking surfaces
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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 & 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19問含まれており、最初の設問は次のとおりです:「Welcome to this survey about food allergy safety in restaurants. We are interested in your honest experiences and opini…」・「In the past 3 months, how often have you dined at restaurants?」・「When dining out in the past 6 months, how often did you or your dining party inform your server about food allergy needs…」。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、19問を約9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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