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Consumer Data Sharing & Value Exchange Survey Template

Measure willingness to share preferences, quantify value exchange, and test incentives. Launch fast to increase consent rates and opt-ins.

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
Opinion Scale
How willing are you to share your preferences with a brand you use?
Range: 1 – 10
Min: Very unwillingMid: NeutralMax: Very willing
Q2
Multiple Choice
Which types of preferences would you consider sharing with a brand you use? Select all that apply. If none, select "I wouldn't share preferences".
  • Product interests or categories
  • Size, color, or style preferences
  • Budget or price sensitivity
  • Communication channel/frequency
  • Shopping occasions (e.g., gifts, back-to-school)
  • Location for store/inventory availability
  • Health/fitness preferences (non-medical)
  • I wouldn't share preferences
Q3
Multiple Choice
What is the biggest reason you hesitate to share preferences? Select one.
  • Privacy or security concerns
  • Fear data will be sold or shared
  • Too many messages afterwards
  • Irrelevant or pushy offers
  • Hard to view/edit/delete data
  • Takes too much time
  • I don’t see the value
  • I prefer to stay anonymous
Q4
Ranking
Rank the benefits from most to least motivating to share your preferences.
Drag to order (top = most important)
  1. Immediate discount
  2. Loyalty points or cashback
  3. More relevant recommendations
  4. Early access or limited offers
  5. Free shipping or upgrades
Q5
Numeric
What is the minimum discount (%) that would make sharing your preferences worthwhile? Enter a whole number; if none, enter 0.
Accepts a numeric value
Whole numbers only
Q6
Matrix
How important are each of the following when deciding whether to trust a brand with your preferences?
RowsNot importantSlightly importantModerately importantVery importantExtremely important
Clear privacy policy in plain language•••••
Ability to view/edit/delete my data•••••
Data stored securely (e.g., encryption)•••••
Option to opt out at any time•••••
No selling data to third parties•••••
Collect only what’s necessary•••••
Q7
Multiple Choice
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 say
Q8
Dropdown
What is your age?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q9
Multiple Choice
How do you describe your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q10
Dropdown
Where do you currently live?
  • United States
  • United Kingdom
  • Canada
  • European Union/EEA
  • Australia/New Zealand
  • India
  • Southeast Asia
  • East Asia
  • Latin America
  • Middle East/North Africa
Q11
Dropdown
What is the highest level of education you have completed?
  • Less than high school
  • High school or equivalent
  • Some college/associate degree
  • Bachelor’s degree
  • Postgraduate degree
  • Prefer not to say
Q12
Multiple Choice
What best describes your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker/Caregiver
  • Unemployed and seeking work
  • Not seeking work
  • Retired
  • Prefer not to say
Q13
Long Text
Is there anything else you’d like to share about how brands can make preference sharing worthwhile for you?
Max 600 chars
Q14
AI Interview
AI Interview: 2 Follow-up Questions on sharing preferences
AI InterviewLength: 2Personality: Expert InterviewerMode: Fast
Q15
Chat Message
Thank you for your time—your responses have been recorded.

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