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Referral Program Barriers & Incentives Survey Template

Quick 4–6 min survey template to uncover referral program blockers: awareness gaps, weak incentives, trust, effort—optimize and boost referrals.

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
Opinion Scale
In the last 6 months, how likely were you to recommend our product/service to someone you know?
Range: 1 10
Min: Not at all likelyMax: Extremely likely
Q2
Numeric
How many people did you refer in the last 6 months? Enter 0 if none.
Accepts a numeric value
Whole numbers only
Q3
Multiple Choice
Before today, had you heard about our referral program?
  • Yes
  • No
  • Not sure
Q4
Multiple Choice
Where did you learn about it—or where would you expect to see it most often?
  • In-app banner or notification
  • Post-purchase email
  • Checkout page or order confirmation
  • Account or rewards page
  • Packaging insert or flyer
  • Social post/ads
  • Customer support mentioned it
Q5
Matrix
Please rate your agreement with the following statements.
RowsStrongly disagreeDisagreeNeither agree nor disagreeAgreeStrongly agree
It’s easy to find information about how referrals work.
The referral reward terms are clear.
Referring is highlighted at the right moments (e.g., after purchase).
I know where to find my referral link.
Q6
Rating
How appealing are the current referral rewards to you?
Scale: 10 (star)
Min: Not appealingMax: Very appealing
Q7
Multiple Choice
Which reward type would most motivate you to refer?
  • Cash payout
  • Percentage discount
  • Fixed-amount discount
  • Account credit/bill credit
  • Gift card
  • Feature upgrade or perk
  • Donation to charity
  • Prize draw/sweepstakes entry
  • None of these
Q8
Constant Sum
Allocate 100 points across what matters most in a referral reward.
Total must equal 100
  • Higher reward amount
  • Faster payout
  • Clearer terms
  • Friend receives a benefit
  • Fewer steps to redeem
  • Choice of reward type
Min per option: 0Whole numbers only
Q9
Multiple Choice
What discourages you about our referral rewards, if anything?
  • Reward amount feels too small
  • Reward details are unclear
  • Not confident my friend would benefit enough
  • Too many steps to redeem
  • Payout takes too long
  • Eligibility/exclusions are restrictive
  • I prefer to refer without rewards
  • I rarely refer products/services
  • Nothing discourages me
Q10
Matrix
How easy or difficult are these steps in our referral process?
RowsVery easyEasyNeither easy nor difficultDifficultVery difficult
Finding my referral link or code
Explaining how it works to a friend
Sharing via my preferred channel
Friend completing sign-up/purchase
Tracking referral status
Receiving the reward
Q11
Long Text
What step felt confusing or broken, if any? Please describe briefly.
Max 600 chars
Q12
Ranking
Which improvements would most increase your referrals? Rank your top 3.
Drag to order (top = most important)
  1. Bigger rewards
  2. Faster payout
  3. Clearer terms/restrictions
  4. Easier link copy/sharing
  5. Better status tracking/updates
  6. Prompts at the right moment
  7. Stronger friend incentive
Q13
Opinion Scale
How likely are you to refer someone in the next 30 days?
Range: 1 10
Min: Very unlikelyMax: Very likely
Q14
Short Text
What message or offer would motivate you to refer one friend this month?
Max 100 chars
Q15
Multiple Choice
Attention check: To confirm you're paying attention, please select "I am paying attention" below.
  • I am paying attention
  • I am not paying attention
Q16
Multiple Choice
How long have you been a customer?
  • Less than 3 months
  • 3–11 months
  • 1–2 years
  • 3+ years
  • Not yet a customer
  • Prefer not to say
Q17
Multiple Choice
How often do you purchase from us?
  • Monthly or more
  • Every few months
  • Once or twice a year
  • Less often
  • Not yet
  • Prefer not to say
Q18
Multiple Choice
What is your age group?
  • Under 18
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q19
Short Text
What country or region do you live in?
Max 100 chars
Q20
Multiple Choice
Have you ever participated in a referral program (with us or elsewhere)?
  • Yes, with this company
  • Yes, with another company
  • No
  • Not sure
  • Prefer not to say
Q21
Chat Message
Welcome! Thanks for helping us improve our referral program. Please answer based on your recent experience.
Q22
Long Text
Anything else you want to share about referrals or rewards?
Max 600 chars
Q23
AI Interview
AI Interview: 2 Follow-up Questions on Referral Barriers
AI InterviewLength: 2Personality: Expert InterviewerMode: Fast
Q24
Chat Message
Thanks for your time! Your feedback will help us improve the referral experience.

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Referral Program Barriers & Incentives Survey Template - Survey Template | QuestionPunk