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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.

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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 9 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: 1 – 7
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

  • Includes a screening flow (age gate, past-30-day purchase check, category dropdown) that qualifies respondents before deeper profiling questions
  • Combines structured question types (ranking of purchase-decision factors, opinion scale on brand openness, role-in-purchase multiple choice) with an open-text question and an AI follow-up interview to probe what most influences buying decisions
  • Captures standard segmentation demographics (age range, gender, region, education, employment) for audience profiling alongside behavioral data
  • Automated per-response quality scoring and an auto-generated report mean researchers get a usable respondent quality signal and summary without manual coding

Jotform

Consumer Behavior Survey Form Template

A static, ready-to-use form template covering general consumer behavior questions, built on Jotform's drag-and-drop form builder. It's easy to customize and embed but relies entirely on fixed question sets. There's no mechanism for probing deeper into an individual respondent's open-ended answers.

What it does well

  • Quick to deploy and customize via a familiar form builder
  • Likely supports standard form logic and embedding options
  • Free-form template lowers the barrier to getting a survey live fast

Where it falls short

  • No adaptive AI follow-up questioning of respondent answers
  • No voice-based interview option
  • No published methodology or per-response quality scoring

SurveyMonkey

Consumer Behavior Survey Template

A pre-built, fielding-ready template from an established survey platform, aimed at general consumer behavior research. It benefits from SurveyMonkey's broader panel and analytics ecosystem, but the template itself is a static question set rather than an interactive interview.

What it does well

  • Backed by a mature survey platform with wide market awareness
  • Likely integrates with SurveyMonkey's analytics and (paid) audience panel
  • Simple to launch for teams already on SurveyMonkey

Where it falls short

  • No adaptive AI-driven follow-up probing built into the template
  • No voice AI interview capability
  • Quality scoring, if any, is not per-response AI-based as far as the page indicates

Typeform

Consumer Behavior Quiz Template

This is framed as a 'quiz' template rather than a research screener, using Typeform's conversational one-question-at-a-time UI. It's polished for engagement but is still a fixed script, not an adaptive interview, and is more oriented toward light engagement than rigorous segmentation research.

What it does well

  • Strong conversational UI and respondent experience
  • Easy branching logic for a linear quiz flow
  • Good for lightweight engagement or lead-gen style consumer content

Where it falls short

  • Positioned as a quiz, not a rigorous segmentation/screener instrument
  • No adaptive AI or voice interview follow-up
  • No automated per-response quality scoring or transparent prompt methodology

QuestionPro

Retail shopping and search behavior survey questions + Sample questionnaire template

This page reads more like a guide plus sample questionnaire library for retail/shopping behavior research rather than a single ready-to-field template — it offers question banks and examples researchers can pick from. Useful as reference material, but requires assembly work before fielding.

What it does well

  • Broad bank of retail and search-behavior sample questions for researchers to draw from
  • Backed by QuestionPro's established survey/research platform
  • Useful as a reference or starting point for building a custom questionnaire

Where it falls short

  • Not a single fielding-ready template — requires manual assembly from sample questions
  • No adaptive AI follow-up interviewing or voice AI option
  • No automated per-response quality scoring or transparent AI prompt disclosure

Frequently asked questions

What questions are in the “Consumer Purchase Behavior Segmentation Screener” template?

The template includes 17 ready-to-use questions, starting with: “Welcome! Thank you for your interest in this brief survey. The purpose of this study is to learn about your recent shopp…” · “Are you 18 years of age or older?” · “Which category best describes your most recent non-grocery purchase?”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 17 questions in about 8 minutes.

Can I customize this template?

Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.

Is this template free to use?

Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.

Ready to launch?

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

Use this templateStart free

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