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Restaurant Allergen Safety & Communication Experience Survey

Measures diners' experiences with allergen communication, cross-contact prevention, and staff responsiveness to identify gaps in restaurant food safety practices and strengthen guest trust.

Sample questions

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

23 questions · ~10 min
Q01
Message

Welcome! This survey explores your experiences with restaurant dining and food allergy communication. It takes approximately 5–7 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 anonymous and will be reported in aggregate to help improve allergen safety practices in restaurants. Thank you for participating.

Q02
Multiple Choice

How often do you dine at restaurants (eat-in) in a typical month?

  • Daily or almost daily
  • A few times per week
  • About once per week
  • 2–3 times per month
  • About once per month
  • Less than once per month
Q03
Multiple Choice

Which best describes your situation regarding food allergies or sensitivities?

  • I have a diagnosed food allergy
  • I have a food intolerance or sensitivity
  • I regularly dine with someone who has a food allergy
  • I do not have allergies or sensitivities relevant to dining
Q04
Multiple Choice

Before choosing a place to eat, which sources do you check for allergy information? (Select all that apply.)

  • Restaurant website allergen info
  • Menu or tags on delivery apps
  • Call ahead to ask
  • Reviews or allergy forums
  • Social media posts
  • I usually don't check in advance
Q05
Opinion Scale

When dining out, how often do you inform restaurant staff about food allergy or sensitivity needs?

Scale: 17
Min:NeverMax:Always
Q06
Ranking

Rank the following improvements from most to least important for allergy-safe dining.

  1. Clear, standardized menu labels
  2. Staff training on allergens and cross-contact
  3. Separate prep area/equipment for allergens
  4. Ingredient transparency from suppliers
  5. Allergen filters on online menus
Drag to rank
Q07
AI Interview

We'd like to understand more about your dining safety experiences. A few brief follow-up questions will appear based on your earlier responses.

Q08
Multiple Choice

What is your age group?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q09
Message

Thank you for your time—your feedback will help improve allergen safety practices in restaurant dining.

Q10
Multiple Choice

Which type of restaurant or food service do you use most often?

  • Casual dine-in
  • Fast casual / quick service
  • Fine dining
  • Cafes / coffee shops
  • Food trucks / markets
  • Takeout / delivery
  • Hotel restaurants
  • Campus / workplace cafeterias
  • Other (please specify)
Q11
Multiple Choice

Which allergens are relevant to you or your dining party when eating out? (Select all that apply.)

  • Milk / dairy
  • Eggs
  • Peanuts
  • Tree nuts
  • Fish
  • Shellfish
  • Soy
  • Wheat / gluten
  • Sesame
  • Other (please specify)
  • Not applicable
Q12
Multiple Choice

Which methods are most helpful for restaurants to communicate allergen information? (Select all that apply.)

  • Menu symbols or icons
  • Allergen matrix or binder on request
  • Digital menus with allergen filters
  • Servers proactively ask about allergies
  • Chef or manager available to discuss
  • Dedicated allergen-friendly menu
  • Table or counter signage
  • Detailed ingredient lists on website
Q13
Opinion Scale

How confident are you that the restaurants you visit manage allergen cross-contact safely?

Scale: 17
Min:Not at all confidentMax:Extremely confident
Q14
Multiple Choice

If a restaurant could fully assure allergy-safe handling, how much extra would you be willing to pay as a percentage of your meal price?

  • 0% — I would not pay extra
  • 1–5%
  • 6–10%
  • 11–15%
  • 16–20%
  • More than 20%
Q15
Long Text

Based on your responses in this survey, please share any additional thoughts or suggestions for how restaurants can better support safe, confident dining for guests with food allergies.

Q16
Multiple Choice

Which of the following best describes your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q17
Multiple Choice

What reaction severity do you typically plan for when choosing a restaurant?

  • Mild (e.g., stomach upset, mild rash)
  • Moderate (e.g., hives, swelling)
  • Severe (e.g., anaphylaxis)
  • Not sure / varies
  • Not applicable
Q18
Opinion Scale

How clear is the allergen information on physical menus at restaurants you visit?

Scale: 17
Min:Not at all clearMax:Extremely clear
Q19
Multiple Choice

In the last 12 months, did you experience an allergy-related mistake at a restaurant?

  • Yes, resulted in a reaction
  • Yes, but caught before eating
  • No
  • Prefer not to say
Q20
Dropdown

Where do you currently live?

  • Africa
  • Asia
  • Australia / Oceania
  • Europe (incl. UK)
  • Middle East
  • North America
  • South America
  • Central America / Caribbean
Q21
Opinion Scale

How clear is the allergen information on restaurant websites or delivery apps?

Scale: 17
Min:Not at all clearMax:Extremely clear
Q22
Opinion Scale

Thinking about your most recent dine-in visit, how satisfied were you with how staff handled allergy-related requests or questions?

Scale: 15
Min:Very dissatisfiedMax:Very satisfied
Q23
Opinion Scale

How clear is the allergen information communicated verbally by restaurant staff?

Scale: 17
Min:Not at all clearMax:Extremely clear

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.

Ready to launch?

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