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Grocery Delivery Substitutions Survey Template

Collect customer feedback on grocery delivery substitutions—fairness, communication, and refunds—using this customizable satisfaction survey template.

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
numeric
In the past 3 months, about how many of your grocery delivery orders had at least one substitution?
Q2
multiple choice
In the past 3 months, which categories included substitutions? Select all that apply.
  • Fresh produce
  • Dairy and eggs
  • Meat and seafood
  • Pantry staples (e.g., rice, pasta, canned goods)
  • Beverages
  • Frozen foods
  • Bakery
  • Household/cleaning
  • Personal care/health
  • None of the above
Q3
rating
Overall, how satisfied are you with the substitutions you usually receive?
Q4
opinion scale
Thinking about recent orders, how fair did the substitutions feel to you?
Q5
matrix
When judging whether a substitution is fair, how important is each of the following?
Q6
ranking
Rank what matters most for a fair substitution (1 = most important).
Q7
constant sum
If a substitution is worse than the original item, how should compensation be allocated? Distribute 100 points across the options.
Q8
multiple choice
How do you prefer to be contacted about substitutions during shopping? Select all that apply.
  • In-app chat
  • SMS text
  • Phone call
  • Push notification only
  • No contact—use my pre-approved rules
Q9
multiple choice
Before today, how familiar were you with your main retailer’s substitution policy?
  • Very familiar
  • Somewhat familiar
  • Not very familiar
  • Not at all familiar
Q10
long text
Briefly describe a substitution that felt unfair and why (optional).
Max 600 chars
Q11
opinion scale
Attention check: To confirm you are paying attention, please select the number 3.
Q12
dropdown
What is your age?
Q13
multiple choice
Which of the following best describes your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q14
multiple choice
Where do you currently live?
  • United States
  • Canada
  • United Kingdom
  • Australia
  • European Union
  • Other
Q15
dropdown
What is the highest level of education you have completed?
Q16
multiple choice
What is your current employment status?
  • Full-time
  • Part-time
  • Self-employed
  • Student
  • Unemployed
  • Retired
  • Prefer not to say
Q17
chat message
Welcome! This brief survey asks about your experiences with grocery delivery substitutions. There are no right or wrong answers. Your responses are anonymous and the survey takes about 5–7 minutes.
Q18
long text
Is there anything else you’d like to share about grocery substitutions, communication, or compensation? (optional)
Max 600 chars
Q19
ai interview
AI Interview: 2 Follow-up Questions on Grocery Substitutions
AI Interview
Q20
chat message
Thank you for participating! Your feedback helps improve substitution fairness, communication, and compensation.

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Launch your survey in minutes with this pre-built template

Grocery Delivery Substitutions Survey Template - Survey Template | QuestionPunk