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Consumer Purchase Behavior Segmentation Screener

Screens and segments consumer respondents by recent purchase behavior, shopping priorities, and decision-making roles to qualify and profile audiences for targeted market research studies.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

17 questions · ~8 min
Q01
Message

Welcome! Thank you for your interest in this brief survey. The purpose of this study is to learn about your recent shopping experiences and preferences. It should take approximately 2–3 minutes to complete. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions. All responses are confidential and will be reported only in aggregate. By proceeding, you confirm that you are willing to participate.

Q02
Multiple Choice

Are you 18 years of age or older?

  • Yes
  • No
Q03
Dropdown

Which category best describes your most recent non-grocery purchase?

  • Home and living
  • Personal care or beauty
  • Electronics or accessories
  • Apparel or footwear
  • Sports or outdoor gear
  • Pet supplies
  • Toys or games
  • Automotive
  • Other (please specify)
Q04
Multiple Choice

How often do you look for deals or compare prices before making a purchase?

  • Always
  • Most of the time
  • Sometimes
  • Rarely
  • Never
Q05
Long Text

In your own words, what most influences where and what you choose to buy?

Q06
Dropdown

What is your age range?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q07
Message

Thank you for completing this survey! Your responses are valuable and will help us better understand consumer shopping preferences. We appreciate your time.

Q08
Multiple Choice

In the past 30 days, have you purchased any non-grocery product?

  • Yes
  • No
Q09
Multiple Choice

Where did you purchase that item?

  • Online marketplace (e.g., Amazon)
  • Brand's own website
  • Big-box retailer (in-store)
  • Specialty store (in-store)
  • Shop within a social media app
  • Other (please specify)
Q10
Opinion Scale

How willing are you to try new or unfamiliar brands?

Scale: 17
Min:Not at all willingMax:Extremely willing
Q11
AI Interview

We'd like to understand more about your shopping decisions. Please share what comes to mind, and we'll ask a couple of follow-up questions.

Q12
Multiple Choice

Which gender best describes you?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q13
Ranking

Please rank the following factors from most to least important when deciding what to buy.

  1. Price or value for money
  2. Product quality or durability
  3. Brand reputation or trust
  4. Convenience (easy to find or buy)
  5. Reviews and ratings from others
  6. Sustainability or ethical practices
Drag to rank
Q14
Dropdown

In which country or region do you currently reside?

  • United States
  • United Kingdom
  • Canada
  • Australia
  • European Union
  • Other (please specify)
Q15
Multiple Choice

For everyday product purchases, what is your typical role?

  • Primary decision-maker
  • Shared decision-maker
  • Influencer but not purchaser
  • Not involved
Q16
Dropdown

What is the highest level of education you have completed?

  • High school or less
  • Some college or trade school
  • Associate degree
  • Bachelor's degree
  • Graduate or professional degree
  • Prefer not to say
Q17
Multiple Choice

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker or caregiver
  • Unemployed, looking
  • Unemployed, not looking
  • Retired
  • Prefer not to say

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • AI interviews adapt to each respondent's marketing stack and budget context, probing channel-specific recall and attribution nuances that static forms cannot capture
  • Privacy-First Marketing Readiness Audit is a unique template no competitor offers—preparing teams for cookieless measurement and data clean room adoption
  • Fully transparent AI methodology means marketing researchers can validate and replicate findings across teams and organizations

Jotform

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What it does well

  • Free with no-code drag-and-drop customization
  • Conditional logic for basic response-based branching
  • Integration with Google Sheets, Salesforce, and 100+ apps

Where it falls short

  • No AI-powered follow-ups to probe why certain channels resonate
  • Template is too generic—doesn't address channel attribution, recall, or ROI measurement
  • No privacy-first marketing measurement or cookieless readiness assessment
  • No academic methodology or reproducibility features

Typeform

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What it does well

  • Beautiful one-question-per-page design optimized for mobile
  • Strong customization with images, icons, video, and brand colors
  • 300+ integrations including Slack, Zapier, and HubSpot

Where it falls short

  • No AI follow-ups—conversational design is visual only, not adaptive
  • Narrowly focused on social media habits rather than cross-channel marketing effectiveness
  • No measurement of message recall, attribution, or channel ROI
  • No privacy-first marketing or data clean room readiness assessment

SurveyMonkey

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What it does well

  • Expert-certified by SurveyMonkey survey methodologists
  • Focused on claim uniqueness, believability, and resonance
  • Part of a broader marketing template ecosystem for combined insights

Where it falls short

  • No AI-powered probing to explore why specific messaging claims resonate or fail
  • Template scope is limited to claims/messaging—doesn't address channel attribution or effectiveness
  • No privacy-first marketing measurement capabilities
  • Static question flow with no adaptive intelligence

Qualtrics

A/B Testing Survey Template

A Ph.D.-designed A/B testing template with professional reporting capabilities. Strong for comparing two specific concepts but doesn't address multi-channel marketing effectiveness or privacy-forward measurement.

What it does well

  • Ph.D.-designed survey methodology for rigorous comparison testing
  • Auto-generated professional reports at the click of a button
  • Expert-designed survey flow for high-quality data

Where it falls short

  • No AI conversational follow-ups during the testing experience
  • Focused on A/B concept comparison, not multi-channel marketing effectiveness
  • Enterprise pricing excludes academic and startup budgets
  • No privacy-first marketing readiness or data clean room assessment capabilities

SurveySparrow

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A broad market research template with extensive sharing options and offline data collection. Good for general market understanding but lacks specificity for channel effectiveness or modern privacy-first marketing measurement.

What it does well

  • Multi-channel distribution including SMS, QR code, social media, and offline app
  • SPSS export and Google Sheets integration for data analysis
  • White-label branding with custom CSS editor for advanced customization

Where it falls short

  • No AI-powered adaptive follow-up questions
  • Template is generic market research—not tailored to channel effectiveness measurement
  • No privacy measurement, data clean room, or cookieless marketing readiness features
  • No academic reproducibility or methodological transparency

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.