Where did you attempt to check out?
- Mobile app
- Mobile web browser
- Desktop/laptop web browser
- Tablet web browser
When was your most recent checkout attempt?
- Within the last 7 days
- 8–14 days ago
- 15–30 days ago
- More than 30 days ago
Which payment methods did you try during that checkout? (Select all that apply)
- Credit/debit card
- PayPal
- Apple Pay
- Google Pay
- Bank transfer
- Buy Now, Pay Later (e.g., Klarna/Affirm)
- Gift card or store credit
Did your payment go through?
- Yes, on the first try
- Yes, after multiple tries
- No, I abandoned checkout
- No, I contacted support and completed later
How easy or difficult were these payment steps?
| Rows | Very easy | Somewhat easy | Neither easy nor difficult | Somewhat difficult | Very difficult |
|---|
| Entering card details | • | • | • | • | • |
| 3‑D Secure/OTP step | • | • | • | • | • |
| Payment method not available | • | • | • | • | • |
| Card declined | • | • | • | • | • |
| Applying promo/gift code | • | • | • | • | • |
| Network timeout or slow loading | • | • | • | • | • |
How many times did you retry payment during that session?
Accepts a numeric value
Whole numbers only
Overall, how easy or difficult was entering your shipping/billing address?
Scale: 11 (star)
Min: Very difficultMax: Very easy
Which address fields caused issues, if any? (Select all that apply)
- Street address line 1
- Address line 2 / Apartment / Unit
- City
- State / Province / Region
- Postal / ZIP code
- Country selector
- Phone number
- Name fields
Did you use autofill for address details?
- Yes, and it worked
- Yes, but it caused issues
- No
For each item, how severe were validation or error issues?
| Rows | No issue | Slight issue | Moderate issue | Major issue | Blocked me |
|---|
| Card number validation | • | • | • | • | • |
| Expiry or CVV validation | • | • | • | • | • |
| Postal/ZIP code format rules | • | • | • | • | • |
| Phone number format rules | • | • | • | • | • |
| Required field errors | • | • | • | • | • |
| Error message clarity | • | • | • | • | • |
Error messages helped me resolve problems without leaving checkout.
Range: 1 – 10
Min: Strongly disagreeMid: NeutralMax: Strongly agree
If you remember any specific error codes/messages or what blocked you, please describe.
Max 600 chars
Rank the top three blockers you encountered (drag to rank).
Drag to order (top = most important)
- Payment method unavailable
- Address validation rejected correct info
- Card declined or 3‑D Secure failed
- Form usability (auto-fill, cursor focus, field order)
- Promo/gift code issues
- Slow loading or timeouts
- Unclear or missing error messages
Approximately how many minutes did checkout take from cart to confirmation (or stopping)?
Accepts a numeric value
Whole numbers only
Overall satisfaction with the checkout experience.
Scale: 11 (star)
Min: Very dissatisfiedMax: Very satisfied
Attention check: To confirm you are paying attention, please select "I am paying attention."
- I am paying attention
- I am not paying attention
- Prefer not to answer
Age
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Gender
- Woman
- Man
- Non-binary
- Prefer not to say
Region
- North America
- Europe
- Asia-Pacific
- Latin America
- Middle East
- Africa
- Prefer not to say
Highest level of education completed
- Less than high school
- High school or equivalent
- Some college or vocational training
- Bachelor's degree
- Master's degree
- Doctorate
- Prefer not to say
Current employment status
- Full-time
- Part-time
- Self-employed
- Student
- Unemployed
- Retired
- Prefer not to say
Any other feedback or suggestions to improve the checkout experience?
Max 600 chars
AI Interview: 2 Follow-up Questions on Checkout Issues
AI InterviewLength: 2Personality: [Object Object]Mode: Fast Thanks for your time—your feedback will help us improve checkout!