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Retail Receipt Preferences & Data Privacy Survey Template

Capture shopper preferences for e-receipts vs paper, consent to data use, and marketing opt-ins. 4–6 min template with ready-to-use 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
multiple choice
In the past 30 days, how many in-store shopping trips have you made?
  • 0
  • 1–2
  • 3–5
  • 6–10
  • 11 or more
Q2
multiple choice
For your most recent in-store purchase, what type of receipt did you receive, if any?
  • Paper only
  • Digital only (email/app/SMS)
  • Both paper and digital
  • No receipt
Q3
multiple choice
When you have a choice, which receipt format do you prefer?
  • Digital receipt
  • Paper receipt
  • It depends
  • No receipt
Q4
multiple choice
In the past 3 months, which digital receipt channels have you used? Select all that apply.
  • Email
  • Text/SMS
  • Retailer app
  • Mobile wallet (Apple/Google)
  • QR code link
  • Post-purchase web portal
  • Other
  • None of these
Q5
multiple choice
What are the main reasons you choose paper receipts? Select all that apply.
  • Habit/what I’m used to
  • Easier to verify purchase right away
  • Prefer not to share contact info
  • Paper works better for returns
  • I keep paper records
  • Store doesn’t offer digital
  • Other
Q6
rating
Overall, how satisfied are you with your usual receipt format?
Q7
multiple choice
If you use digital receipts, which contact methods are you comfortable sharing with a retailer? Select all that apply.
  • Email address
  • Mobile number
  • Retailer app account
  • Mobile wallet (Apple/Google)
  • I prefer not to share contact info
  • Other
Q8
matrix
How comfortable are you with retailers using your receipt data for the following? Please think about the past 12 months.
Q9
multiple choice
Which controls would make you more comfortable with digital receipts? Select all that apply.
  • Clear opt-out for marketing
  • Use contact info only for receipts
  • Ability to delete my data anytime
  • See and download my stored data
  • Short retention (e.g., 30 days)
  • None of these
  • Other
Q10
opinion scale
How much do you trust your primary retailer to protect your receipt data?
Q11
multiple choice
Attention check: To confirm you’re paying attention, please select “I am paying attention.”
  • I am paying attention
  • I am not paying attention
Q12
dropdown
What is your age range?
Q13
multiple choice
Which of the following best describes your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q14
dropdown
Which region do you live in?
Q15
dropdown
What is the highest level of education you have completed?
Q16
multiple choice
What is your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker/caregiver
  • Unemployed
  • Retired
  • Prefer not to say
Q17
long text
Any final comments about receipts or data use?
Max 600 chars
Q18
ai interview
AI Interview: 2 Follow-up Questions on Receipts and Data Use
AI Interview
Q19
chat message
Thanks for your time—your responses have been recorded.

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Retail Receipt Preferences & Data Privacy Survey Template - Survey Template | QuestionPunk