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Customer Data Privacy, Consent & Trust Survey Template

Assess customer trust, data use and privacy concerns, and consent clarity. Improve transparency, boost opt-ins, and support GDPR/CCPA compliance.

What's Included

AI-Powered Questions

Intelligent follow-up questions based on responses

Automated Analysis

Real-time sentiment and insight detection

Smart Distribution

Target the right audience automatically

Detailed Reports

Comprehensive insights and recommendations

Sample Survey Items

Q1
numeric
In whole numbers, how many orders have you placed with us in the past 3 months? (If none, enter 0.)
Q2
dropdown
How long have you had an account with us?
Q3
opinion scale
How clear is the consent language when we ask to use your data?
Q4
rating
How much control do you feel you have over what data we collect?
Q5
dropdown
When we present optional data uses (for example, personalized offers), which choice format do you prefer?
Q6
multiple choice
Which of the following help you feel confident when checking out on our site?
  • Padlock/HTTPS in browser
  • Well-known payment providers
  • Clear return and refund policy
  • Customer reviews on product pages
  • Transparent privacy policy link
  • Recognized trust badges/certifications
  • Two-step verification available
  • Clear order tracking and updates
  • Visible customer support contact info
Q7
dropdown
How concerned are you about data breaches affecting your orders or account?
Q8
matrix
Thinking about the last 3 months, how much do you agree with each statement?
Q9
opinion scale
How important is privacy when choosing where to shop online?
Q10
multiple choice
Which types of information feel most sensitive to you when shopping online?
  • Email address
  • Phone number
  • Payment card details
  • Purchase history
  • Precise location
  • Browsing behavior (on-site)
  • Saved shipping/billing addresses
  • Date of birth
Q11
ranking
Please rank when you prefer to be told about data use (drag to rank, top = most preferred).
Q12
dropdown
Attention check: To confirm you’re paying attention, please select “I am paying attention.”
Q13
multiple choice
Which channels would you use to manage privacy questions or requests?
  • Help center articles
  • Live chat with an agent
  • Email support
  • Phone support
  • In-account privacy dashboard
  • Community forum/FAQ
Q14
dropdown
What is your age group?
Q15
multiple choice
How do you describe your gender?
  • Man
  • Woman
  • Non-binary
  • Prefer not to say
Q16
dropdown
Where do you currently live?
Q17
dropdown
What is the highest level of education you have completed?
Q18
dropdown
What is your current employment status?
Q19
chat message
Welcome! This short, voluntary survey focuses on your recent experiences with our site. Your responses are confidential and used only in aggregate.
Q20
long text
What could we change to make our privacy choices easier to understand?
Max 600 chars
Q21
ai interview
AI Interview: 2 Follow-up Questions on data use and privacy preferences
AI Interview
Q22
chat message
Thank you for your time—your feedback helps us improve transparency, control, and trust.

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Customer Data Privacy, Consent & Trust Survey Template - Survey Template | QuestionPunk