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Contactless Health Screening Experience Survey

Captures how people experience contactless health screening kiosks or apps—ease of use, trust in accuracy, and privacy comfort—for clinics, workplaces, and events. An AI follow-up interview digs into the specific moment trust broke down or friction occurred, beyond a simple satisfaction score.

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샘플 질문

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질문 11개 · 약 6분
Q01
메시지

Hi! We're looking at how people experience contactless health screening (temperature/symptom kiosks, apps, or scanners) at check-in points. Your responses are completely confidential and anonymized. This will take about 4-5 minutes and your honest experience — good or bad — is exactly what helps us improve it.

Q02
객관식필수

Where did you most recently go through a contactless health screening?

  • Workplace or office building
  • Clinic or hospital
  • Airport or transit hub
  • Event, venue, or gym
  • School or campus
  • Other (Replace with your own context if this list doesn't fit)
Q03
의견 척도필수

How easy was it to complete the screening (e.g., standing in front of a scanner, answering prompts on a kiosk)?

척도: 1 – 7
최소:Very difficult최대:Very easy
Q04
의견 척도필수

How much do you trust that the screening result was accurate?

척도: 1 – 7
최소:Don't trust it at all최대:Trust it completely
Q05
매트릭스필수

Thinking about that same screening, how much do you agree with each statement?

5개 행 × 5개 열
  • It was faster than a manual check-in
  • I understood what was being measured or asked
  • I felt my personal health data was handled respectfully
  • Staff or signage made the process clear
  • I would be comfortable going through it again
열: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q06
객관식

In the last time you used it, did you run into any of these issues?

  • Long wait or queue
  • Device didn't read correctly on the first try
  • Confusing instructions
  • Concerned about who sees my data
  • Felt rushed or watched by staff
  • Screening flagged me incorrectly
Q07
평점 척도필수

Overall, how satisfied were you with the contactless screening experience?

범위: 1 – 5
최소:Very dissatisfied최대:Very satisfied
Q08
AI 인터뷰

Reconstruct the respondent's most recent contactless screening moment in concrete detail: what device or app was used, what happened step by step, and whether the result felt accurate. If they reported low trust or an issue (long wait, misread, data concerns, incorrect flag), probe exactly what happened, how staff responded, and what would have restored their confidence. If everything went smoothly, ask what specifically made it feel trustworthy and fast.

Q09
객관식

What is your age range?

  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65 or older
  • Prefer not to say
Q10
객관식

How do you describe your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q11
메시지

That's everything — thank you for sharing your experience! Your answers, along with the follow-up conversation, will help the teams running these screenings make the process faster, clearer, and more trustworthy.

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • Includes an AI follow-up interview that reconstructs the respondent's actual screening moment to find where trust broke down or friction occurred, not just a satisfaction number
  • Combines an opinion-scale trust/ease pair with a matrix of agreement statements and a specific issues checklist, giving both breadth and depth on the same recent experience
  • Uses transparent, auto-generated reporting so clinics, workplaces, and event organizers can see exactly what was asked and why
  • Structured to work across contexts (clinics, workplaces, events) rather than locking into one vertical like airlines or a single symptom-check use case

QuestionPro

Contactless Health-Screening Survey Template for Airlines

This is a fielding-ready static template but scoped specifically to airline travelers rather than clinics, workplaces, or events. It covers standard satisfaction and trust questions but has no mechanism to probe deeper on individual answers. Useful as a narrow vertical starting point, less useful for broader contactless screening research.

잘하는 점

  • Purpose-built for the airline travel context
  • Likely quick to deploy as-is for that niche
  • Comes from an established survey platform with broad template library

아쉬운 점

  • Static question set with no adaptive follow-up when a respondent flags low trust or friction
  • No voice interview or guided screen-share option to observe the actual screening moment
  • No transparent, publishable prompt methodology since there are no AI-driven questions at all

Jotform

COVID-19 Daily Health Screening Form Template

This is a daily symptom-check intake form rather than an experience/satisfaction survey about contactless kiosks or apps — it's built for operational screening logs, not for understanding trust or friction in the screening experience itself. It's fielding-ready but serves a different purpose than an experience research template.

잘하는 점

  • Simple, fast form intended for daily operational use
  • Familiar Jotform builder for easy customization of fields
  • Free-tier accessible template

아쉬운 점

  • Designed for symptom logging, not for capturing trust, ease-of-use, or privacy comfort with the screening technology itself
  • No adaptive follow-up interview to dig into a specific bad experience
  • No automated quality scoring or auto-generated experience report

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