AI Error/Bug Reporting & Trust Feedback Survey Template - Survey Template | QuestionPunk
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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

Sample Survey Items

Q1
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
Q2
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
Q3
multiple choice
In the past 30 days, did you encounter any AI output you considered incorrect, harmful, or broken?
  • Yes
  • No
  • Not sure
Q4
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
Q5
rating
If you reported or tried to report, how easy was it to find and complete the reporting flow?
Q6
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
Q7
matrix
For the reporting form, how sufficient were these fields to capture needed details?
Q8
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
Q9
opinion scale
Right now, how much do you trust the AI’s outputs for your tasks?
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?
Q12
dropdown
How likely are you to report AI issues you encounter in the future?
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?
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?
Q17
dropdown
What is your highest level of education?
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 Interview
Q21
chat message
Thank you for your time—your feedback helps us improve reporting and follow-up.

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