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Stakeholder Interview Eligibility Screener

Pre-qualifies potential stakeholder interviewees by assessing role fit, recent domain involvement, and scheduling availability for 45–60 minute research sessions.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

22 questions · ~4 min
Q01
Long Text

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.

Q02
Multiple Choice

Which option best describes your relationship with the organization conducting this study?

Q03
Multiple Choice

In the past 3 months, how often have you completed tasks or used tools related to [RESEARCH TOPIC]?

Q04
Multiple Choice

Are you able to participate in a single 45–60 minute online session?

Q05
Multiple Choice

What is your age range?

Q06
Long Text

Is there anything else we should know about your role, recent experience, or scheduling before we follow up?

Q07
Long Text

Which department do you primarily work in?

Q08
Multiple Choice

Which tools or platforms do you commonly use for [RESEARCH TOPIC]-related work? (Select all that apply)

Q09
Long Text

What is your primary time zone?

Q10
Multiple Choice

Which best describes your gender identity?

Q11
Long Text

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.

Q12
Multiple Choice

What is your current relationship to the organization?

Q13
Long Text

Briefly describe a recent task you completed related to [RESEARCH TOPIC] (within the past 30 days).

Q14
Multiple Choice

Which times generally work for you in the next 14 days? (Select all that apply)

Q15
Long Text

Where do you primarily reside?

Q16
Multiple Choice

In the past 6 months, how much influence have you had on product- or process-related decisions at your organization?

Q17
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.

Q18
Multiple Choice

Are you comfortable being audio/video recorded for research analysis?

Q19
Multiple Choice

What is the highest level of education you have completed?

Q20
Multiple Choice

Have you participated in a research session with this organization in the past 60 days?

Q21
Multiple Choice

Do you have access to a computer with a webcam and microphone for an online session?

Q22
Multiple Choice

What is your current employment status?

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.