AI Error/Bug Reporting & Trust Feedback Survey Template

Collect AI bug/error reports and measure trust changes after follow-ups. Use this survey template to prioritize fixes and improve AI reliability.

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

Template Overview

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

Multiple Choice

In the past 7 days, how often did you use our AI features?

0 times
1–2 times
3–5 times
6–10 times
More than 10 times

Multiple Choice

What did you mainly use the AI for in the past 7 days? Select all that apply.

Drafting or writing
Data analysis
Brainstorming ideas
Customer support tasks
Code assistance
Research or lookup
Summarization
Planning or scheduling

Multiple Choice

In the past 30 days, did you encounter any AI output you considered incorrect, harmful, or broken?

Yes
No
Not sure

Multiple Choice

For your most recent AI issue in the past 30 days, did you report it?

Yes, using the in-product report button
Yes, contacted support
Yes, posted in a community/forum
Tried but couldn’t submit
No, I didn’t report it

Rating

If you reported or tried to report, how easy was it to find and complete the reporting flow?

Scale: 11 (star)

Min: Very hardMax: Very easy

Multiple Choice

What, if anything, made reporting harder? Select all that apply.

Couldn’t find where to report
Too many steps
Unsure what info was needed
Concerned about sharing data
Report form was buggy
No time
Not worth the effort
None of the above

Matrix

For the reporting form, how sufficient were these fields to capture needed details?

Rows	Very insufficient	Somewhat insufficient	Adequate	Somewhat sufficient	Very sufficient
Steps to reproduce the issue	•	•	•	•	•
Screenshots or attachments	•	•	•	•	•
Model/version or feature name	•	•	•	•	•
Timestamp/time zone	•	•	•	•	•
Expected vs. actual output	•	•	•	•	•
Ability to redact sensitive data	•	•	•	•	•

Multiple Choice

After submitting a report, did you receive any follow-up (acknowledgment or resolution)?

Yes, within 24 hours
Yes, within 3 days
Yes, after a week or more
Not yet
Not sure

Opinion Scale

Right now, how much do you trust the AI’s outputs for your tasks?

Range: 1 – 10

Min: Not at allMid: ModerateMax: Completely

Q10

Multiple Choice

After your most recent AI issue (if any), how did your trust change?

Increased
No change
Decreased slightly
Decreased a lot
Haven’t had AI issues recently

Q11

Rating

For critical decisions, how confident are you using AI assistance today?

Scale: 11 (star)

Min: Not confidentMax: Highly confident

Q12

Dropdown

How likely are you to report AI issues you encounter in the future?

Very unlikely
Unlikely
Neither likely nor unlikely
Likely
Very likely

Q13

Multiple Choice

Attention check: To confirm you’re paying attention, please select “Not sure.”

Yes
No
Not sure

Q14

Dropdown

What is your age?

18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say

Q15

Multiple Choice

Which gender identities do you use? Select all that apply.

Woman
Man
Non-binary
Prefer not to say

Q16

Dropdown

Where do you primarily live?

Africa
Asia
Europe
North America
South America
Oceania
Middle East
Prefer not to say

Q17

Dropdown

What is your highest level of education?

Less than high school
High school or equivalent
Some college
Bachelor’s degree
Master’s degree
Doctorate (PhD or equivalent)
Professional degree (e.g., JD, MD)
Other
Prefer not to say

Q18

Multiple Choice

What is your current employment status? Select all that apply.

Full-time
Part-time
Self-employed
Student
Unemployed and seeking work
Not in the labor force
Prefer not to say

Q19

Long Text

What would make AI issue reports easier to file and more complete?

Max 600 chars

Q20

AI Interview

AI Interview: 2 Follow-up Questions on AI error reporting and trust

AI InterviewLength: 2Personality: [Object Object]Mode: Fast

Q21

Chat Message

Thank you for your time—your feedback helps us improve reporting and follow-up.

Frequently Asked Questions

What is QuestionPunk?

QuestionPunk is a lightweight survey platform for live AI interviews you control. It's fast, flexible, and scalable—adapting every question in real time, moderating responses across languages, letting you steer prompts, models, and flows, and even generating surveys from a simple prompt. Get interview-grade insight with survey-level speed across qual and quant.

How do I create my first survey?

Sign up, then decide how you want to build: let the AI generate a survey from your prompt, pick a template, or start from scratch. Choose question types, set logic, and preview before sharing.

How can I share surveys with my team?

Send a project link so teammates can view and collaborate instantly.

Can the AI generate a survey from a prompt?

Yes. Provide a prompt and QuestionPunk drafts a survey you can tweak before sending.

How long does support typically take to reply?

We reply within 24 hours—often much sooner. Include key details in your message to help us assist you faster.

Can I export survey results?

Absolutely. Export results as CSV straight from the results page for quick data work.