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Restaurant Food Allergy & Safety Survey Template

Collect customer feedback on allergen communication, cross-contact prevention, menu labeling, and staff response to improve restaurant safety and guest trust.

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

Sample Survey Items

Q1
Chat Message
Welcome! This short survey asks about your restaurant dining and allergy communication experiences. It takes about 5–7 minutes. Your responses are anonymous, and you can skip any question. Thank you for participating.
Q2
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
Q3
Multiple Choice
Which of the following do you use most often when getting meals from restaurants?
  • Casual dine-in
  • Fast casual/quick service
  • Fine dining
  • Cafes/coffee shops
  • Food trucks/markets
  • Takeout/delivery
  • Hotel restaurants
  • Campus/workplace cafeterias
Q4
Multiple Choice
Which best describes your situation regarding food allergies or sensitivities?
  • I have a diagnosed food allergy
  • I have a food intolerance/sensitivity
  • I regularly dine with someone who has a food allergy
  • I do not have allergies or sensitivities relevant to dining
Q5
Multiple Choice
Which allergens are most relevant to you or your dining party when eating out?
  • Milk/dairy
  • Eggs
  • Peanuts
  • Tree nuts
  • Fish
  • Shellfish
  • Soy
  • Wheat/gluten
  • Sesame
  • Other
  • Not applicable
Q6
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
Q7
Multiple Choice
Before choosing a place to eat, which sources do you check for allergy information?
  • 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
Q8
Opinion Scale
If allergy needs apply, how often do you inform staff when dining out? (If not applicable, choose Never.)
Range: 1 10
Min: NeverMax: Always
Q9
Multiple Choice
Which ways are most helpful for restaurants to communicate allergen information?
  • Menu symbols/icons
  • Allergen matrix or binder on request
  • Digital menus with allergen filters
  • Servers proactively ask about allergies
  • Chef/manager available to discuss
  • Dedicated allergen-friendly menu
  • Table or counter signage
  • Detailed ingredient lists on website
Q10
Matrix
How clear is allergen information across these touchpoints?
RowsVery unclearUnclearNeither clear nor unclearClearVery clear
Printed menu text
Allergen icons or tags
Verbal explanations from staff
Online menus/websites
Delivery app listings
Q11
Multiple Choice
Attention check: To confirm you are paying attention, please select "I agree".
  • I disagree
  • I agree
  • I’m not sure
Q12
Opinion Scale
How confident are you that restaurants you visit manage cross-contact safely?
Range: 1 10
Min: Not confidentMax: Very confident
Q13
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
Q14
Multiple Choice
Thinking about your most recent dine-in visit, how satisfied were you with how staff handled allergy-related requests or questions?
  • Very dissatisfied
  • Dissatisfied
  • Neither satisfied nor dissatisfied
  • Satisfied
  • Very satisfied
  • Not applicable
Q15
Ranking
Rank the following improvements from most to least important for allergy-safe dining.
Drag to order (top = most important)
  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
Q16
Numeric
If restaurants could assure allergy-safe handling, what is the maximum extra you would be willing to pay (as a % of meal price)? Enter 0 if not willing to pay extra.
Accepts a numeric value
Whole numbers only
Q17
Long Text
Any final comments or suggestions to help restaurants support safe, confident dining?
Max 600 chars
Q18
AI Interview
AI Interview: 2 Follow-up Questions on your dining safety responses
AI InterviewLength: 2Personality: Expert InterviewerMode: Fast
Reference questions: 15
Q19
Multiple Choice
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q20
Multiple Choice
Which of the following best describes your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q21
Dropdown
Where do you currently live?
  • Africa
  • Asia
  • Australia/Oceania
  • Europe (incl. UK)
  • Middle East
  • North America
  • South America
  • Central America/Caribbean
Q22
Multiple Choice
What is the highest level of education you have completed?
  • Less than high school
  • High school or equivalent
  • Some college, no degree
  • Associate’s degree
  • Bachelor’s degree
  • Postgraduate degree
  • Prefer not to say
Q23
Multiple Choice
What is your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker/caregiver
  • Unemployed, looking for work
  • Unemployed, not looking for work
  • Retired
  • Prefer not to say
Q24
Chat Message
Thank you for your time—your feedback will help improve allergy-safe dining.

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Restaurant Food Allergy & Safety Survey Template - Survey Template | QuestionPunk