Q01
Long Text
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Restaurant Allergen Safety & Trust Survey
Measures diners' confidence in restaurant allergen communication, cross-contact prevention, and safety practices. Designed for consumers who manage food allergies or dine with someone who does.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
19 questions · ~4 min
Q02
Long Text
In the past 3 months, how often have you dined at restaurants?
Q03
Long Text
When dining out in the past 6 months, how often did you or your dining party inform your server about food allergy needs?
Q04
Long Text
How clear has allergen information on menus been at the restaurants where you have dined in the past 6 months?
Q05
Long Text
Based on your experiences, what could restaurants do to better support safe dining for people with food allergies? Please be as specific as possible.
Q06
Long Text
What is your age?
Q07
Long Text
Thank you for completing this survey! Your responses will help improve food allergy safety practices in restaurants. Your answers are confidential and will be reported only in aggregate.
Q08
Multiple Choice
Which of the following describe your dining experiences in the past 12 months? (Select all that apply)
Q09
Long Text
When dining out in the past 6 months, how often did you or your dining party check the menu for allergen information before ordering?
Q10
Long Text
Overall, how confident are you that restaurant staff properly handle food allergy requests?
Q11
AI Interview
We'd like to understand your experiences with food allergy safety in restaurants in more depth. Please share your thoughts and our AI moderator will ask a couple of follow-up questions.
Q12
Multiple Choice
Which gender do you identify with?
Q13
Multiple Choice
Which allergens do you or your usual dining party need to avoid? (Select all that apply)
Q14
Long Text
When dining out in the past 6 months, how often did you or your dining party ask staff about food preparation methods or cross-contact risks?
Q15
Long Text
How much do you trust restaurants in your area to safely prepare meals for diners with food allergies?
Q16
Multiple Choice
In which region do you most often dine out?
Q17
Multiple Choice
Which of the following ways do you prefer to communicate allergy needs to a restaurant? (Select all that apply)
Q18
Multiple Choice
In the past 12 months, what is the most serious allergy-related incident you or your dining party experienced while eating at a restaurant?
Q19
Long Text
Please rank the following features from most to least important in making you feel safe when dining with food allergies.
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.