Q01
Long Text
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Referral Program Barriers & Incentive Preferences Survey
A 5-minute diagnostic survey for existing customers to identify referral program awareness gaps, incentive misalignment, process friction, and trust barriers—providing actionable data to optimize referral conversion.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
30 questions · ~4 min
Q02
Multiple Choice
Have you ever participated in a referral program, either with us or with another company?
Q03
Multiple Choice
Before today, had you heard about our referral program?
Q04
Long Text
I understand how the referral program works (steps, rules, and rewards).
Q05
Long Text
How appealing are the current referral rewards to you?
Q06
Long Text
How easy or difficult is it to find your personal referral link or code?
Q07
AI Interview
We'd like to understand more about what holds you back from referring. Our AI moderator will ask you a couple of follow-up questions about your referral barriers.
Q08
Long Text
Which improvements would most increase the number of people you refer? Please rank your top 3.
Q09
Long Text
Based on your responses in this survey, is there anything else you'd like to share about your referral experience or our rewards?
Q10
Multiple Choice
How long have you been a customer?
Q11
Long Text
Thank you for your time! Your feedback will directly help us improve the referral experience for you and your friends. We truly appreciate your honesty.
Q12
Long Text
In the last 6 months, how likely were you to recommend our product/service to someone you know?
Q13
Multiple Choice
Where did you first learn about our referral program?
Q14
Long Text
I trust that my referrals will be tracked correctly and credited to me.
Q15
Multiple Choice
Which type of reward would most motivate you to refer someone?
Q16
Long Text
How easy or difficult is it to share your referral link with a friend?
Q17
Long Text
How likely are you to refer someone to us in the next 30 days?
Q18
Multiple Choice
How often do you purchase from us?
Q19
Long Text
How many people have you referred to us in the last 6 months?
Q20
Multiple Choice
Where would you most expect to see information about a referral program?
Q21
Long Text
I feel comfortable recommending our product/service to people I know.
Q22
Long Text
Please rank the following referral reward features from most to least important to you.
Q23
Long Text
How easy or difficult is it to track whether your referral was successful?
Q24
Long Text
What message or offer would motivate you to refer one friend this month?
Q25
Multiple Choice
What is your age group?
Q26
Long Text
I believe the person I refer would genuinely benefit from our product/service.
Q27
Multiple Choice
What, if anything, discourages you about our referral rewards? Select all that apply.
Q28
Long Text
How easy or difficult is it to receive and redeem your referral reward?
Q29
Long Text
What country or region do you live in?
Q30
Long Text
Was there any step in the referral process that felt confusing or broken? If so, please describe briefly.
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.