Q01
Long Text
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Prospect Purchase Barriers & Risk Perception Survey
Identifies perceived risks, unmet needs, and key barriers among prospective buyers to inform messaging strategy and conversion optimization.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
23 questions · ~4 min
Q02
Multiple Choice
Which of the following best describes where you are in considering products or services like this?
Q03
Multiple Choice
Which of the following would most increase your likelihood of making a purchase? Select up to 2.
Q04
Long Text
We'd like to understand how concerned you are about different types of risk when considering this kind of purchase. Please rate each on the scale provided.
Q05
Long Text
Rank the following by importance when choosing a provider (drag to reorder; 1 = most important).
Q06
AI Interview
Thank you for your answers so far. I'd like to explore a couple of your responses in more depth. Could you tell me more about the main concern or hesitation you have when evaluating this type of product or service?
Q07
Long Text
Based on your responses in this survey, is there anything else you'd like to share about your experience evaluating products or services like this?
Q08
Long Text
What is your age?
Q09
Long Text
Thank you for your time—your input is invaluable in helping us improve. You may now close this window.
Q10
Long Text
Regardless of how likely you are to buy, when do you think you might make a decision about this type of product or service?
Q11
Multiple Choice
What is the single biggest barrier, if any, preventing you from purchasing right now?
Q12
Long Text
Financial risk (e.g., wasting money, unexpected costs)
Q13
Long Text
If you could change or add one thing about products or services like this, what would make you much more likely to purchase?
Q14
Multiple Choice
How do you describe your gender?
Q15
Multiple Choice
Which of the following sources, if any, have you used to gather information about this type of product or service in the last 3 months? Select all that apply.
Q16
Long Text
How confident are you that this type of product or service would meet your needs?
Q17
Long Text
Performance risk (e.g., product does not work as expected)
Q18
Long Text
In which region do you currently live?
Q19
Long Text
Time/effort risk (e.g., difficult setup, steep learning curve)
Q20
Multiple Choice
What is the highest level of education you have completed?
Q21
Long Text
Privacy/security risk (e.g., data misuse, security vulnerabilities)
Q22
Multiple Choice
What is your current employment status?
Q23
Long Text
Social risk (e.g., others judging your choice, choosing a lesser-known brand)
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.