Stakeholder Interview Screener Survey Template - Survey Template | QuestionPunk
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Stakeholder Interview Screener Survey Template

Prequalify stakeholder interviewees in minutes. Screen for role fit, recent involvement, and availability for a 45–60 min interview.

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
chat message
Welcome! This brief screener helps confirm eligibility, recent experience, and availability for a 45–60 minute research session.
Q2
multiple choice
Which option best describes your relationship with the organization running this study?
  • Internal (employee/contractor)
  • External (customer/partner/prospect)
  • Other
Q3
dropdown
If you selected "Internal": Which department do you primarily work in?
Q4
multiple choice
If you selected "External": What is your current relationship to the organization?
  • Current customer
  • Partner
  • Prospect evaluating
  • Vendor / Supplier
  • Other
Q5
opinion scale
In the past 6 months, how much influence have you had on product- or process-related decisions at your organization?
Q6
multiple choice
In the past 3 months, how often have you completed tasks or used tools related to this topic?
  • Daily
  • Weekly
  • Monthly
  • Rarely
  • Never
Q7
multiple choice
Which tools or platforms do you commonly use for this work? (Select all that apply)
  • Zoom
  • Microsoft Teams
  • Slack
  • Google Workspace
  • Microsoft 365
  • Jira / Trello / Asana
  • CRM (e.g., Salesforce, HubSpot)
  • Other
Q8
long text
Briefly describe a recent task you completed in this area (within the past 30 days).
Max 600 chars
Q9
multiple choice
Have you participated in a research session with this organization in the past 60 days?
  • Yes
  • No
  • Not sure
Q10
multiple choice
Attention check: Please select "I am paying attention."
  • I am paying attention
  • I am not paying attention
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?
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 a reliable computer with a webcam and microphone for online sessions?
  • Yes
  • No
  • I can use a mobile device only
Q16
multiple choice
What is your age?
  • 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
  • Prefer not to say
Q18
dropdown
Where do you primarily reside?
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 600 chars
Q22
ai interview
AI Interview: 2 Follow-up Questions to clarify key responses
AI Interview
Q23
chat message
Thank you for your time—we’ll review your responses and follow up if there’s a fit.

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