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Longitudinal Participant Dropout & Retention Survey Template

Pinpoint why participants miss or skip follow-ups in longitudinal studies to cut attrition, boost retention, and improve compliance. Takes 8-10 minutes.

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
Thinking about the last 12 months, which best describes your participation in this study?
  • Completed every scheduled time point
  • Missed one time point
  • Missed more than one time point
  • Joined recently (completed only the first time point)
  • Not sure
Q2
Multiple Choice
If you missed at least one time point in the last 12 months, what were the reasons? Select all that apply.
  • Scheduling conflict or time constraints
  • Forgot or missed the deadline
  • Survey felt too long
  • Time points were too frequent
  • Incentives too low
  • Technical issues (link, device, or login)
  • Instructions were unclear
  • Did not see reminders in time
  • Questions felt too personal or sensitive
  • Health or family issues
  • In-person visit was difficult
  • Lost interest or topic no longer relevant
  • Concern about data privacy
  • Other reason
  • Prefer not to say
Q3
Multiple Choice
If you missed a time point, which one reason best explains your most recent missed time point?
  • Scheduling conflict or time constraints
  • Forgot or missed the deadline
  • Survey felt too long
  • Time points were too frequent
  • Incentives too low
  • Technical issues (link, device, or login)
  • Instructions were unclear
  • Did not see reminders in time
  • Questions felt too personal or sensitive
  • Health or family issues
  • In-person visit was difficult
  • Lost interest or topic no longer relevant
  • Concern about data privacy
  • Not sure/Don’t remember
  • Prefer not to say
Q4
Multiple Choice
In the last 12 months, did you ever consider skipping a time point or withdrawing from the study?
  • Yes
  • No
  • Prefer not to say
Q5
Multiple Choice
If you considered skipping or leaving, what factors influenced that? Select all that apply.
  • Scheduling conflict or time constraints
  • Forgot or missed the deadline
  • Survey felt too long
  • Time points were too frequent
  • Incentives too low
  • Technical issues (link, device, or login)
  • Instructions were unclear
  • Did not see reminders in time
  • Questions felt too personal or sensitive
  • Health or family issues
  • In-person visit was difficult
  • Lost interest or topic no longer relevant
  • Concern about data privacy
  • Other reason
  • Prefer not to say
Q6
Matrix
How much does each factor motivate you to complete time points?
Rows1 Not at all2 Slightly3 Moderately4 Very5 Extremely
Contributing to science
Receiving incentives
Personal relevance of the topic
Commitment to the research team
Getting personalized feedback or results
Being part of something meaningful
Q7
Matrix
How burdensome has each aspect been in the last 12 months?
Rows1 Very low2 Low3 Moderate4 High5 Very highNot applicable
Overall survey length
Frequency of time points
Time of day required
Technical difficulty
Sensitivity of questions
In-person visit requirements
Q8
Numeric
If incentives influenced your decision, what amount per time point would make you very likely to complete on time? Enter a number in your local currency (numbers only).
Accepts a numeric value
Whole numbers only
Q9
Multiple Choice
How would you prefer to receive reminders for upcoming time points? Select all that apply.
  • Email
  • SMS/text
  • Phone call
  • Push notification in an app
  • Calendar invite (Google/Outlook)
  • Messaging app (e.g., WhatsApp)
  • None — I do not want reminders
Q10
Dropdown
When should the first reminder arrive before a time point?
  • Same day
  • 1 day before
  • 3 days before
  • 1 week before
  • 2 weeks before
Q11
Multiple Choice
Which incentive types would you most value? Select up to 3.
  • Cash transfer
  • Electronic gift card
  • Prepaid debit card
  • Charity donation in my name
  • Entry into a prize drawing
  • Course credit
  • Personalized feedback or report
Q12
Rating
Overall, how fair are the study’s incentives relative to the time required?
Scale: 11 (star)
Min: Not at all fairMax: Very fair
Q13
Multiple Choice
Attention check: To confirm you are paying attention, please select “Agree.”
  • Strongly disagree
  • Disagree
  • Neutral
  • Agree
  • Strongly agree
Q14
Dropdown
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q15
Multiple Choice
Which gender do you identify with?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q16
Dropdown
What is the highest level of education you have completed?
  • High school or less
  • Some college/Associate degree
  • Bachelor's degree
  • Postgraduate (Master's/PhD/Professional)
  • Other
  • Prefer not to say
Q17
Multiple Choice
Which best describes your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Unpaid caregiver
  • Retired
  • Unemployed and seeking work
  • Unemployed and not seeking work
  • Unable to work
  • Prefer not to say
Q18
Dropdown
Where do you currently live?
  • Africa
  • Asia
  • Europe
  • North America
  • Oceania
  • South America
  • Prefer not to say
Q19
Long Text
What one change would most improve your ability to complete every time point?
Max 600 chars
Q20
AI Interview
AI Interview: 2 Follow-up Questions on participation patterns
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Q21
Chat Message
Thank you for your time—your responses have been recorded.

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