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
Template Overview
22
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
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.)
Accepts a numeric value
Whole numbers only
Q2
Dropdown
How long have you had an account with us?
Less than 1 month
1–6 months
6–12 months
1–2 years
3+ years
Q3
Opinion Scale
How clear is the consent language when we ask to use your data?
Range: 1 – 10
Min: Not at all clearMid: NeutralMax: Extremely clear
Q4
Rating
How much control do you feel you have over what data we collect?
Scale: 11 (star)
Min: No controlMax: A lot of control
Q5
Dropdown
When we present optional data uses (for example, personalized offers), which choice format do you prefer?
Unchecked checkbox (opt-in)
Toggle switch default off
Granular per-feature controls
Single “Accept all” with “Manage options”
Read-only notice with no choice
Pre-checked box (opt-out)
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?
Not at all concerned
Slightly concerned
Moderately concerned
Very concerned
Extremely concerned
Q8
Matrix
Thinking about the last 3 months, how much do you agree with each statement?
Rows
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Consent wording was concise and easy to read.
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I understood why specific data was collected.
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•
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I could easily change privacy or cookie preferences.
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I knew how my data would be used for personalization.
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I can find the privacy policy quickly when needed.
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I trust the site to protect my data.
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Q9
Opinion Scale
How important is privacy when choosing where to shop online?
Range: 1 – 10
Min: Not at all importantMid: NeutralMax: Extremely important
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).
Drag to order (top = most important)
Before creating an account
At checkout
When starting a new session
When a feature first needs data
In a periodic email or account dashboard
Q12
Dropdown
Attention check: To confirm you’re paying attention, please select “I am paying attention.”
I am paying attention
I am not paying attention
Prefer not to answer
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?
18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say
Q15
Multiple Choice
How do you describe your gender?
Man
Woman
Non-binary
Prefer not to say
Q16
Dropdown
Where do you currently live?
North America
Latin America & Caribbean
Europe
Middle East & North Africa
Sub-Saharan Africa
South Asia
East Asia
Southeast Asia
Oceania
Prefer not to say
Q17
Dropdown
What is the highest level of education you have completed?
Less than high school
High school or equivalent
Some college, no degree
Associate degree
Bachelor’s degree
Graduate/professional degree
Prefer not to say
Q18
Dropdown
What is your current employment status?
Full-time
Part-time
Self-employed
Student
Homemaker/caregiver
Retired
Unemployed and seeking work
Unable to work
Prefer not to say
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 InterviewLength: 2Personality: [Object Object]Mode: Fast
Q22
Chat Message
Thank you for your time—your feedback helps us improve transparency, control, and trust.
Frequently Asked Questions
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