Q01
Long Text
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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 · ~4 min
Q02
Multiple Choice
How often do you dine at restaurants (eat-in) in a typical month?
Q03
Multiple Choice
Which best describes your situation regarding food allergies or sensitivities?
Q04
Multiple Choice
Before choosing a place to eat, which sources do you check for allergy information? (Select all that apply.)
Q05
Long Text
When dining out, how often do you inform restaurant staff about food allergy or sensitivity needs?
Q06
Long Text
Rank the following improvements from most to least important for allergy-safe dining.
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?
Q09
Long Text
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?
Q11
Multiple Choice
Which allergens are relevant to you or your dining party when eating out? (Select all that apply.)
Q12
Multiple Choice
Which methods are most helpful for restaurants to communicate allergen information? (Select all that apply.)
Q13
Long Text
How confident are you that the restaurants you visit manage allergen cross-contact safely?
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?
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?
Q17
Multiple Choice
What reaction severity do you typically plan for when choosing a restaurant?
Q18
Long Text
How clear is the allergen information on physical menus at restaurants you visit?
Q19
Multiple Choice
In the last 12 months, did you experience an allergy-related mistake at a restaurant?
Q20
Long Text
Where do you currently live?
Q21
Long Text
How clear is the allergen information on restaurant websites or delivery apps?
Q22
Long Text
Thinking about your most recent dine-in visit, how satisfied were you with how staff handled allergy-related requests or questions?
Q23
Long Text
How clear is the allergen information communicated verbally by restaurant staff?
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.