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Form & Checkout Abandonment Diagnostic Survey

Diagnoses why users abandon forms, signups, and checkout flows. Captures the specific step, blockers, and recovery levers to reduce drop-off and improve conversion rates.

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

18

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

Q1
Chat Message
Welcome, and thank you for taking a few minutes to share your experience. This short survey (approximately 4–5 minutes) asks about a recent task you started but did not complete on our platform. Your responses are confidential, reported only in aggregate, and will be used to improve the product experience. Participation is entirely voluntary — there are no right or wrong answers, and you may stop at any time.
Q2
Dropdown
When did you last attempt this flow?
  • In the last 24 hours
  • 2–3 days ago
  • 4–7 days ago
  • 8–14 days ago
  • 15–30 days ago
  • More than 30 days ago
  • I don't remember
Q3
Multiple Choice
Which type of flow did you start but not finish?
  • Create account / sign up
  • Checkout / purchase
  • Upgrade / subscribe
  • Booking / reservation
  • Add payment method
  • Form submission (e.g., application, quote)
  • Onboarding / setup
  • Feature configuration / settings
  • Search / discovery
Q4
Multiple Choice
Which device or platform were you using?
  • Mobile app
  • Mobile web browser
  • Desktop/laptop web browser
  • Tablet
Q5
Multiple Choice
Which step best describes where you left off?
  • Selecting items or options
  • Review / cart / summary
  • Sign in or account creation
  • Payment or billing
  • Identity / verification
  • Address or shipping details
  • Confirmation step
  • I don't remember
Q6
Multiple Choice
What were the main reasons you did not finish? Select all that apply.
  • Too many steps or took too long
  • Confusing navigation or instructions
  • Price or fees felt too high
  • Trust or security concerns
  • Technical issue or error
  • Payment declined or verification failed
  • Missing required info (e.g., ID, document)
  • Slow load times or performance
  • Wanted to compare options or not ready
  • Prefer to do it on another device
Q7
Ranking
Rank the following barriers by how much they affected your decision not to complete the flow. Drag the biggest barrier to the top.
Drag to order (top = most important)
  1. Price or fees
  2. Technical bug or error
  3. Too much information required
  4. Confusing steps or layout
  5. Payment friction
  6. Privacy or trust concerns
Q8
AI Interview
We'd like to understand more about what got in the way. An AI interviewer will ask you a couple of follow-up questions about your specific experience.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 2
Q9
Opinion Scale
How likely are you to try completing this flow again in the next 7 days?
Range: 1 7
Min: Not at all likelyMid: NeutralMax: Extremely likely
Q10
Multiple Choice
What would most help you complete this flow next time? Select up to 3.
  • Shorter or fewer steps
  • Clearer guidance and examples
  • Save progress and resume later
  • Guest checkout or fewer fields
  • More payment options
  • Installments or pay later
  • Live chat or faster support
  • Better error messages
  • Show total cost and fees earlier
Q11
Multiple Choice
Would any of the following incentives motivate you to return and complete the flow? Select all that apply.
  • Small discount or coupon
  • Free shipping or waived fees
  • Bonus feature or trial extension
  • Loyalty points or credit
  • None of these
Q12
Multiple Choice
If we were to follow up with you, which channel would you prefer?
  • In-app message
  • Email
  • SMS/text
  • Push notification
  • No follow-up
Q13
Opinion Scale
Overall, how clear were the steps in this flow?
Range: 1 7
Min: Not at all clearMid: NeutralMax: Extremely clear
Q14
Long Text
Based on your experience, is there anything else we should fix or know about this flow?
Max chars
Q15
Dropdown
Which region do you live in?
  • Africa
  • Asia
  • Europe
  • Latin America
  • Middle East
  • North America
  • Oceania
  • Prefer not to say
Q16
Dropdown
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q17
Multiple Choice
How do you describe your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q18
Chat Message
Thank you for your time — your feedback directly helps us improve this experience.

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.

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