모든 템플릿

Sexual Health Testing Experience & Awareness Survey

Measures how people access, experience, and think about STI/STD testing services — testing frequency, comfort with providers, and the practical or emotional barriers that keep people from testing regularly. Built for sexual health clinics and public health teams, with an AI follow-up that digs into the real reasons behind gaps in testing behavior.

샘플 질문

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질문 13개 · 약 7분
Q01
메시지

Thanks for taking a few minutes to share your experience with sexual health testing. Everything you share is confidential and there are no wrong answers — this should take about 4-5 minutes.

Q02
객관식필수

In the last 12 months, how many times have you been tested for STIs?

  • Never
  • Once
  • Two or three times
  • Four or more times
  • I'm not sure / can't recall
Q03
객관식

Where have you gotten tested for STIs before (select all that apply)?

  • Primary care doctor's office
  • Sexual health / STI clinic
  • Pharmacy or urgent care
  • At-home test kit
  • Community health event or outreach van
  • I have never been tested
Q04
의견 척도필수

How comfortable do you feel discussing STI testing and sexual health with a healthcare provider?

척도: 17
최소:Very uncomfortable최대:Very comfortable
Q05
매트릭스필수

How much does each of the following get in the way of you getting tested when you think you should?

6개 행 × 4개 열
  • Cost of testing
  • Concerns about privacy or confidentiality
  • Finding time or a convenient location
  • Embarrassment or stigma
  • Not having symptoms, so it doesn't feel urgent
  • 외 1개
: Not a barrier · Minor barrier · Moderate barrier · Major barrier
Q06
평점 척도

If you've been tested before, how would you rate your most recent testing experience overall?

범위: 15
최소:Very poor최대:Excellent
Q07
객관식

What would most encourage you to get tested more regularly (select all that apply)?

  • Lower cost or free testing
  • More privacy or anonymous options
  • Faster results
  • Easier scheduling or walk-in availability
  • A trusted at-home test option
  • Being asked/reminded by a provider
  • More open conversations with partners
Q08
AI 인터뷰

Reconstruct the respondent's actual decision-making around their most recent testing experience (or lack of one): what prompted them to consider testing, what almost stopped them, and what specifically made it easy or hard. If they selected 'Never' been tested, gently probe what would need to change — cost, privacy, stigma, or access — for them to seriously consider it, without being judgmental. If they rated a barrier as 'major', ask for a concrete recent example of that barrier in action.

Q09
의견 척도

How likely are you to recommend the testing service or provider you used to a friend?

척도: 010
최소:Not at all likely최대:Extremely likely
Q10
객관식

What is your age range?

  • Under 18
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55+
  • Prefer not to say
Q11
객관식

How do you describe your gender identity?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q12
객관식

How do you describe your sexual orientation?

  • Heterosexual/straight
  • Gay or lesbian
  • Bisexual
  • Prefer not to say
Q13
메시지

That's everything — thank you for your openness. Your answers will be combined with others to help improve access to sexual health testing and make the experience less stressful for everyone.

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 decision-making around their most recent testing experience, surfacing real reasons behind testing gaps that fixed-choice questions can't capture.
  • Pairs a matrix question quantifying specific barriers (cost, embarrassment, access, etc.) with opinion-scale items on comfort discussing testing with providers and likelihood to recommend the service.
  • Covers testing frequency, where people have been tested, and a rating of their most recent experience, plus age, gender identity, and sexual orientation breakouts for segmentation by clinics and public health teams.
  • Automated per-response quality scoring and auto-generated reports turn open-ended answers (including from an optional voice AI interview) into analyzable output without manual coding.

QuestionPro

Sexually transmitted disease survey questions + sample questionnaire template

This page presents sample STD survey questions and a questionnaire template, functioning more like a question-bank/guide than a ready-to-field survey bundled with reporting. It covers standard topics (testing history, knowledge, attitudes) using conventional question types, aimed at researchers building their own instrument.

잘하는 점

  • Broad sample question bank covering STD knowledge and testing topics
  • Backed by an established, well-known survey platform
  • Customizable questionnaire structure researchers can adapt

아쉬운 점

  • No adaptive AI follow-up to probe why respondents skip or delay testing — relies on static fixed-choice and scaled questions
  • No automated per-response quality scoring or auto-generated report output evident on the page
  • No transparent, published interview prompt methodology

Jotform

Sexually Transmitted Infection Report Form Template

This is a report/documentation form for recording STI cases, not a survey measuring testing experience, comfort, or barriers — a different use case (clinical/administrative reporting vs. attitudinal research). It's a static form builder template with no interview-style questioning or behavioral/attitude scales.

잘하는 점

  • Simple, quick-to-deploy form builder for capturing structured STI case data
  • Familiar drag-and-drop customization within the Jotform ecosystem

아쉬운 점

  • Not designed to measure testing frequency, comfort, or barriers — serves a reporting purpose rather than survey research
  • No adaptive AI follow-up or voice interview capability
  • No automated quality scoring or auto-generated analytical reports

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