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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 an AI-powered survey and research platform that turns traditional surveys into adaptive conversations. Describe your research goal and get a complete survey draft, conduct AI-moderated interviews with dynamic follow-ups, detect low-quality responses, and produce insights automatically. It's fast, flexible, and scalable across qualitative and quantitative research.
How do I create my first survey?
Sign up, then choose how to build: describe your research goal and let AI generate a survey, pick a template, or start from scratch. Add question types, set logic, preview, and share.
Can the AI generate a survey from a prompt?
Yes. Describe your research goal in plain language and QuestionPunk drafts a complete survey with appropriate question types, ordering, and AI follow-up logic. You can then customize before publishing.
What question types are available?
QuestionPunk supports a wide range of question types: opinion scale, rating, multiple choice, dropdown, ranking, matrix, constant sum, AI interview (text and audio), long text, short text, email, phone, date, address, website, numeric, audio/video recording, contact form, chat message, conversation reset, button, page breaks, and more.
How do AI interviews work?
AI interviews conduct adaptive conversations with respondents. The AI asks follow-up questions based on what the respondent says, probing for clarity and depth. You control the personality, tone, model (Haiku, Sonnet, or Opus), and question mode (fixed count, AI decides when to stop, or time-based).
Can I test my survey before launching?
Yes. Use synthetic testing to create AI personas and run them through your survey. This helps catch issues with question flow, logic, and wording before real respondents see it.
How many languages are supported?
QuestionPunk supports 142+ languages. Add languages from the survey editor, auto-translate questions, and share language-specific links. AI interviews also adapt to the respondent's language automatically.
How can I share my survey?
Share via a direct link (with optional custom slug), embed on your website (iframe or script), distribute through Prolific for research panels, or generate a QR code for physical distribution.
Can I export survey results?
Yes. Export as CSV (flat or wide layout), Excel (XLSX), or export the survey structure as PDF/Word. Filter by suspicious level, response type, language, or date range before exporting.
Does QuestionPunk detect fraudulent responses?
Yes. Every response is automatically classified with a suspicious level (low/medium/high) based on attention checks, response timing, and behavioral signals. You can filter flagged responses in the Responses tab.
What are the pricing plans?
Basic (Free): 20 responses/month. Business ($50/month or $500/year): 5,000 responses/month with priority support. Enterprise (Custom): unlimited responses, remove branding, custom domain, and dedicated support.
How long does support take to reply?
We reply within 24 hours, often much sooner. Include key details in your message to help us assist you faster.

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