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.
What's Included
AI-Powered Questions
Intelligent follow-up questions based on responses
Automated Analysis
Real-time sentiment and insight detection
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Detailed Reports
Comprehensive insights and recommendations
Template Overview
19
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat Message
Welcome to this survey about food allergy safety in restaurants.
We are interested in your honest experiences and opinions — there are no right or wrong answers.
Your participation is entirely voluntary and you may stop at any time. All responses are confidential and will be reported only in aggregate.
This survey takes approximately 5–7 minutes to complete.
Q2
Dropdown
In the past 3 months, how often have you dined at restaurants?
I have not dined at a restaurant
Less than once per month
About once per month
2–3 times per month
About once per week
A few times per week
Daily or almost daily
Q3
Multiple Choice
Which of the following describe your dining experiences in the past 12 months? (Select all that apply)
I have a diagnosed food allergy
I have a suspected food allergy or intolerance
I avoid certain foods for non-allergy reasons (e.g., dietary preference, religious observance)
I regularly dine with someone who has a food allergy
None of these
Q4
Multiple Choice
Which allergens do you or your usual dining party need to avoid? (Select all that apply)
Peanuts
Tree nuts
Milk/dairy
Eggs
Soy
Wheat/gluten
Fish
Shellfish
Sesame
Sulfites
Other (please specify)
None of these
Q5
Opinion Scale
When dining out in the past 6 months, how often did you or your dining party inform your server about food allergy needs?
Range: 1 – 5
Min: NeverMid: NeutralMax: Every time
Q6
Opinion Scale
When dining out in the past 6 months, how often did you or your dining party check the menu for allergen information before ordering?
Range: 1 – 5
Min: NeverMid: NeutralMax: Every time
Q7
Opinion Scale
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?
Range: 1 – 5
Min: NeverMid: NeutralMax: Every time
Q8
Multiple Choice
Which of the following ways do you prefer to communicate allergy needs to a restaurant? (Select all that apply)
Tell the server in person
Add notes to an online order
Call ahead before arriving
Add notes to a reservation
Ask to speak with a manager
Provide a printed allergy card
Use a restaurant's allergy-specific ordering system
Other (please specify)
Q9
Opinion Scale
How clear has allergen information on menus been at the restaurants where you have dined in the past 6 months?
Range: 1 – 7
Min: Not at all clearMid: NeutralMax: Extremely clear
Q10
Opinion Scale
Overall, how confident are you that restaurant staff properly handle food allergy requests?
Range: 1 – 7
Min: Not at all confidentMid: NeutralMax: Extremely confident
Q11
Opinion Scale
How much do you trust restaurants in your area to safely prepare meals for diners with food allergies?
Range: 1 – 7
Min: Do not trust at allMid: NeutralMax: Trust completely
Q12
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?
Please rank the following features from most to least important in making you feel safe when dining with food allergies.
Drag to order (top = most important)
Clearly marked allergens on the menu
Staff explicitly repeat back allergy notes
Server or manager confirms with the kitchen
Evidence of separate prep area or tools
Chef or manager visits the table to discuss
Dedicated fryers or cooking surfaces
Q14
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.
Max chars
Q15
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.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 4
Q16
Dropdown
What is your age?
Under 18
18–24
25–34
35–44
45–54
55–64
65 or older
Prefer not to say
Q17
Multiple Choice
Which gender do you identify with?
Woman
Man
Non-binary
Prefer not to say
Q18
Multiple Choice
In which region do you most often dine out?
North America
South America
Europe
Africa
Middle East
Asia
Oceania
Prefer not to say
Q19
Chat Message
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.
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