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Multi-Channel Consent Revocation & Opt-Out Survey Template

Measure opt-out ease across web, email, SMS, app, and support. Uncover friction, boost GDPR/CCPA compliance and CX with this ready-to-use survey template.

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
Multiple Choice
In the last 6 months, which consent types have you interacted with on websites or apps?
  • Cookies or tracking
  • Email marketing
  • SMS marketing
  • Push notifications
  • Data sharing with partners
  • Personalized ads or personalization settings
  • None of the above
Q2
Multiple Choice
In the last 6 months, where did you try to revoke consent?
  • Website cookie banner or settings
  • Privacy/consent center on site
  • Email unsubscribe link
  • Replying STOP to SMS
  • In-app settings
  • Contacted support (chat, phone, or email)
  • Ad platform or social preferences
  • None of the above
Q3
Opinion Scale
On the websites you used, it was easy to find where to revoke consent.
Range: 1 – 10
Min: Strongly disagreeMid: NeutralMax: Strongly agree
Q4
Matrix
How clear were the entry points for revoking consent in these channels? If you didn’t use a channel, select Not applicable.
RowsVery unclearUnclearNeutralClearVery clearNot applicable
Website cookie banner/settings••••••
Privacy/consent center••••••
Email footer instructions••••••
SMS instructions (e.g., STOP)••••••
In-app settings••••••
Customer support instructions••••••
Q5
Matrix
How easy or difficult was the process to revoke consent in each channel?
RowsVery difficultDifficultNeutralEasyVery easyNot applicable
Website cookie banner/settings••••••
Privacy/consent center••••••
Email footer instructions••••••
SMS instructions (e.g., STOP)••••••
In-app settings••••••
Customer support process••••••
Q6
Numeric
On your most recent attempt to revoke consent, about how many minutes did it take from start to confirmation?
Accepts a numeric value
Whole numbers only
Q7
Dropdown
How many steps did that process take, from start to finish?
  • 1 step
  • 2 steps
  • 3 steps
  • 4 or more steps
  • Not sure / Not applicable
Q8
Dropdown
Attention check: To confirm you’re paying attention, please select “I am paying attention.”
  • I am paying attention
  • I am not paying attention
  • Prefer not to say
Q9
Multiple Choice
Which types of confirmation did you receive after revoking consent?
  • On-screen confirmation
  • Email confirmation
  • SMS confirmation
  • In-app notification
  • No confirmation
  • Not applicable
Q10
Multiple Choice
After revoking, did communications stop within the expected time?
  • Yes, immediately
  • Yes, after a short delay (up to 48 hours)
  • Partially stopped
  • No, they continued
  • Not applicable
Q11
Rating
The revocation instructions matched what I expected for that channel.
Scale: 11 (star)
Min: Strongly disagreeMax: Strongly agree
Q12
Matrix
Across channels you used, how consistent were these aspects?
RowsNot consistent at allSlightly consistentModerately consistentVery consistentCompletely consistentNot applicable
Terminology (e.g., opt out, unsubscribe, revoke)••••••
Steps required••••••
Location of controls••••••
Confirmation experience••••••
Ability to change your mind later••••••
Q13
Long Text
What, if anything, made revoking consent confusing or slow? Mention channels, labels, or steps.
Max 600 chars
Q14
Ranking
Rank the top three improvements that would help you revoke consent quickly.
Drag to order (top = most important)
  1. Clearer entry points
  2. Simpler steps
  3. Plain-language labels
  4. Unified consent center
  5. Channel-specific guidance
  6. Faster confirmation
  7. Ability to undo/opt back in
  8. Better visibility of current status
Q15
Dropdown
Which device did you mostly use for revoking consent in the last 6 months?
  • Desktop or laptop
  • Mobile web browser
  • Mobile app
  • Tablet
  • Other
  • Prefer not to say
Q16
Rating
I trust that my preferences are respected after I revoke consent.
Scale: 11 (star)
Min: Strongly disagreeMax: Strongly agree
Q17
Dropdown
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q18
Multiple Choice
Which of the following best describes your gender?
  • Woman
  • Man
  • Non-binary / gender diverse
  • Prefer not to say
Q19
Dropdown
Where do you primarily live?
  • North America
  • Europe
  • Asia-Pacific
  • Latin America
  • Middle East/Africa
  • Prefer not to say
Q20
Dropdown
What is the highest level of education you have completed?
  • High school or equivalent
  • Some college/technical
  • Bachelor’s degree
  • Postgraduate degree
  • Prefer not to say
Q21
Dropdown
What is your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Unemployed and looking
  • Not looking for work
  • Retired
  • Prefer not to say
Q22
Long Text
Is there anything else you’d like to share about revoking consent across channels?
Max 600 chars
Q23
AI Interview
AI Interview: 2 Follow-up Questions on Consent Revocation
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Q24
Chat Message
Thank you for your time—your feedback helps improve consent experiences.
Q25
Chat Message
Welcome! Please answer based on your experiences in the last 6 months. You may skip any question. Thank you for helping improve consent experiences.

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