Pre-qualifies potential stakeholder interviewees by assessing role fit, recent domain involvement, and scheduling availability for 45–60 minute research sessions.
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
Chat Message
Welcome! This brief screener (approximately 3–5 minutes) helps us confirm your eligibility, recent experience, and availability for a 45–60 minute research session.
Your responses are voluntary and confidential — they will be used solely to determine fit for this study and will not be shared outside the research team. There are no right or wrong answers.
By continuing, you confirm that you are at least 18 years old and consent to your responses being used for participant selection purposes.
Q2
Multiple Choice
Which option best describes your relationship with the organization conducting this study?
Internal (employee or contractor)
External (customer, partner, or prospect)
Other (please specify)
Q3
Dropdown
Which department do you primarily work in?
Engineering / IT
Product / Design / UX
Marketing
Sales / Business Development
Customer Support / Success
Operations
Finance / Legal
HR / People
Executive / Leadership
Other (please specify)
Q4
Multiple Choice
What is your current relationship to the organization?
Current customer
Former customer
Partner
Prospect evaluating
Vendor / Supplier
Other (please specify)
Q5
Multiple Choice
In the past 6 months, how much influence have you had on product- or process-related decisions at your organization?
None
Minimal — I provide input but don't decide
Moderate — I influence some decisions
Significant — I drive most decisions in my area
Primary decision-maker
Q6
Multiple Choice
In the past 3 months, how often have you completed tasks or used tools related to [RESEARCH TOPIC]?
Daily
Weekly
Monthly
Rarely
Never
Q7
Multiple Choice
Which tools or platforms do you commonly use for [RESEARCH TOPIC]-related work? (Select all that apply)
Zoom
Microsoft Teams
Slack
Google Workspace
Microsoft 365
Jira / Trello / Asana
CRM (e.g., Salesforce, HubSpot)
None of these
Other (please specify)
Q8
Long Text
Briefly describe a recent task you completed related to [RESEARCH TOPIC] (within the past 30 days).
Max chars
Q9
AI Interview
Based on the task you described, we'd like to understand a bit more about your recent experience and how it relates to this study.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 2
Q10
Multiple Choice
Have you participated in a research session with this organization in the past 60 days?
Yes
No
Not sure
Q11
Multiple Choice
Are you able to participate in a single 45–60 minute online session?
Yes
No
Depends on timing
Q12
Dropdown
What is your primary time zone?
Pacific (US/Canada)
Mountain (US/Canada)
Central (US/Canada)
Eastern (US/Canada)
Atlantic (Canada/Caribbean)
UK / Ireland (GMT/BST)
Central Europe (CET)
Eastern Europe (EET)
Middle East (GST/AST)
East Africa (EAT)
West/Central Africa (WAT/CAT)
India / Sri Lanka (IST)
Southeast Asia (ICT/WIB)
East Asia — China/Singapore (CST/SGT)
Japan / Korea (JST/KST)
Australia / New Zealand (AEST/NZST)
Latin America (various)
Other
Q13
Multiple Choice
Which times generally work for you in the next 14 days? (Select all that apply)
Weekdays: Morning
Weekdays: Afternoon
Weekdays: Evening
Weekends: Morning
Weekends: Afternoon
Not available in the next 14 days
Q14
Multiple Choice
Are you comfortable being audio/video recorded for research analysis?
Yes
No
Q15
Multiple Choice
Do you have access to a computer with a webcam and microphone for an online session?
Yes
No
I can use a mobile device only
Q16
Multiple Choice
What is your age range?
18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say
Q17
Multiple Choice
Which best describes your gender identity?
Woman
Man
Non-binary
Self-describe (please specify)
Prefer not to say
Q18
Dropdown
Where do you primarily reside?
North America
Central America / Caribbean
South America
Western Europe
Eastern Europe
Middle East
North Africa
Sub-Saharan Africa
South Asia
East Asia
Southeast Asia
Central Asia
Oceania
Prefer not to say
Q19
Multiple Choice
What is the highest level of education you have completed?
Secondary / High school or equivalent
Some college / Associate degree
Bachelor's degree
Postgraduate / Professional degree
Prefer not to say
Q20
Multiple Choice
What is your current employment status?
Employed full-time
Employed part-time
Self-employed
Student
Not employed
Retired
Prefer not to say
Q21
Long Text
Is there anything else we should know about your role, recent experience, or scheduling before we follow up?
Max chars
Q22
Chat Message
Thank you for your time — we'll review your responses and follow up within 5 business days if there's a fit. If you have any questions in the meantime, please contact the research team.
Frequently Asked Questions
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