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CSR & ESG Customer Perception Survey Template

Measure consumer attitudes to CSR, ESG, and sustainability. Gauge brand trust, ethics, and impact with ready-to-use survey questions.

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 survey asks about your recent purchases and views on companies’ social and environmental efforts. There are no right or wrong answers.
Q2
Multiple Choice
Which product or service category have you purchased from in the last 3 months? Select all that apply.
  • Groceries
  • Clothing/Apparel
  • Electronics
  • Household goods
  • Personal care/Beauty
  • Financial services
  • Mobile/Internet/TV service
  • Travel/Transportation
  • Restaurants/Food delivery
Other option allowed
Q3
Multiple Choice
In the past 12 months, have you seen or heard any company talk about its social or environmental initiatives?
  • Yes
  • No
  • Not sure
Q4
Multiple Choice
Where did you notice these initiatives? Select all that apply.
  • In-store signage
  • Product packaging
  • Company website
  • Email/Newsletter
  • Social media
  • News coverage
  • TV/Radio ads
  • Word of mouth
  • Other
  • Not applicable—I have not noticed any
Q5
Multiple Choice
Which types of initiatives did you notice? Select all that apply.
  • Reducing carbon emissions
  • Charitable donations
  • Employee volunteering
  • Sustainable packaging
  • Fair labor practices
  • Community development
  • Diversity and inclusion
  • Ethical sourcing
  • Other
  • Not sure
  • Not applicable—I have not noticed any
Q6
Rating
Thinking about the most recent initiative you noticed, how credible did it feel?
Scale: 11 (star)
Min: Not credible at allMax: Very credible
Q7
Matrix
Thinking about that initiative, what kind of impact do you believe it has on each area?
RowsStrong negativeSlight negativeNo impactSlight positiveModerate positiveStrong positive
Environmental impact••••••
Local communities••••••
Employee well-being••••••
Product quality••••••
Product price••••••
Brand trust••••••
Q8
Opinion Scale
How much did this initiative influence your purchase decision, if at all?
Range: 1 – 10
Min: No influenceMid: Some influenceMax: Major influence
Q9
Opinion Scale
Attention check: To show you are paying attention, please select 1 (Strongly disagree).
Range: 1 – 10
Min: Strongly disagreeMax: Strongly agree
Q10
Ranking
Rank what companies should prioritize in their responsibility efforts (1 = top priority).
Drag to order (top = most important)
  1. Environmental protection
  2. Supporting local communities
  3. Employee welfare
  4. Ethical supply chains
  5. Customer data privacy
  6. Transparency and governance
Q11
Multiple Choice
Which minimum standards do you expect most companies to meet today? Select all that apply.
  • Comply with laws and regulations
  • No child or forced labor
  • Pay fair wages
  • Reduce greenhouse gas emissions
  • Use recyclable or minimal packaging
  • Support local communities
  • Ensure a diverse and inclusive workplace
  • Protect customer data and privacy
  • Publish transparent impact reports
  • Other
Q12
Long Text
Is there anything else you would like to share about how a company’s social and environmental practices influence your choices?
Max 600 chars
Q13
AI Interview
AI Interview: 2 Follow-up Questions on Corporate Responsibility
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Q14
Dropdown
What is your age?
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65+
  • Prefer not to say
Q15
Multiple Choice
How do you describe your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q16
Dropdown
Where do you currently live?
  • United States
  • United Kingdom
  • Canada
  • Australia
  • India
  • Other
Q17
Multiple Choice
What is the highest level of education you have completed?
  • Some high school or less
  • High school or equivalent
  • Some college/Associate degree
  • Bachelor’s degree
  • Postgraduate (Master’s/Doctorate)
  • Prefer not to say
Q18
Multiple Choice
What is your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Unemployed
  • Retired
  • Other
  • Prefer not to say
Q19
Chat Message
Thank you for your time and thoughtful responses!

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