Q01
Message
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Consumer Plastic Bag Usage and Alternatives Survey
Measures how often shoppers actually use single-use plastic bags, what drives that choice, and how open they are to paper, cloth, or biodegradable alternatives. Built for retailers, packaging teams, and sustainability researchers. The AI follow-up interview digs into the real barrier behind a shopper's stated habit or reason, beyond the tidy checkbox answer.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Multiple ChoiceRequired
In the last 30 days, how often did you use a single-use plastic bag when shopping?
- Never
- Rarely (1-2 times)
- Sometimes (3-5 times)
- Often (6-10 times)
- Every shopping trip
Q03
Multiple Choice
Which of the following do you typically bring with you to avoid needing a single-use plastic bag?
- Reusable cloth or canvas bag
- Reusable insulated bag
- Personal backpack or tote already on hand
- Cardboard box from the store
- I don't bring anything
Q04
Opinion ScaleRequired
How concerned are you about the environmental impact of single-use plastic bags?
Scale: 1 – 7
Min:Not concerned at allMax:Extremely concerned
Q05
MatrixRequired
How convenient is each of the following for your typical shopping trip?
4 rows × 5 columns
- Single-use plastic bags
- Paper bags
- Reusable cloth bags
- Biodegradable/compostable bags
Columns: Very inconvenient · Somewhat inconvenient · Neutral · Somewhat convenient · Very convenient
Q06
Ranking
Rank these bag types from what you'd most prefer to use to what you'd least prefer to use over the next month.
- Single-use plastic bags
- Paper bags
- Reusable cloth bags
- Biodegradable/compostable bags
Drag to rank
Q07
Multiple ChoiceRequired
What's the main reason you reach for a single-use plastic bag instead of an alternative?
- It's more convenient
- It's cheaper or free
- It's just habit
- I don't know of good alternatives
- The store doesn't offer alternatives
- I don't use single-use plastic bags
Q08
Opinion ScaleRequired
How willing would you be to pay a small fee (for example, $0.10) for each single-use plastic bag at checkout?
Scale: 0 – 10
Min:Not willing at allMax:Extremely willing
Q09
AI Interview
Dig into the real reason behind the respondent's stated main reason for choosing (or avoiding) single-use plastic bags. If they cited convenience or habit, ask what a specific recent shopping trip looked like and what would have had to change for them to grab a reusable bag instead. If they scored fee willingness low, probe whether the objection is about cost, fairness, or trust that the fee changes behavior at all, and ask what alternative (discount for reusable bags, better in-store availability, etc.) would actually shift them.
Q10
Multiple Choice
Which age range do you fall into?
- Under 18
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q11
Multiple Choice
What is your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q12
Multiple Choice
What is your household's approximate annual income?
- Under $25,000
- $25,000-$49,999
- $50,000-$74,999
- $75,000-$99,999
- $100,000 or more
- Prefer not to say
Q13
Message
Thanks so much for sharing your shopping habits! Your answers will feed into a report on plastic bag use and which alternatives are most likely to actually catch on.
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 an AI follow-up interview that digs into the real barrier behind a shopper's stated main reason for using plastic bags, going beyond the checkbox answer
- Combines quantitative measures (frequency of use, opinion scales on environmental concern and willingness to pay a fee, a convenience matrix, and a ranking of bag alternatives) with open AI-driven probing in one flow
- Built-in chat messages frame the study for respondents and set expectations that answers feed into a report, which is auto-generated at the end
- Captures standard segmentation (age, gender, household income) alongside behavioral and attitudinal data so retailers, packaging teams, and sustainability researchers can cross-tab drivers of bag choice
QuestionPro
Use Of Plastic Bags Survey Questions + Sample Questionnaire TemplateThis is a sample questionnaire/template page focused on plastic bag usage attitudes, presented as a static list of questions rather than a fielding-ready adaptive survey. It covers similar ground conceptually (usage frequency, attitudes toward alternatives) but appears to be a reference questionnaire teams would need to build out themselves in QuestionPro's survey builder.
What it does well
- Directly on-topic for plastic bag usage attitudes and behavior
- Backed by an established, general-purpose survey platform with broad question-type support
- Likely easy to customize and deploy quickly given QuestionPro's mature form builder
Where it falls short
- No adaptive AI follow-up interview to probe past a respondent's stated reason for their bag choice — likely a fixed, static list of questions
- No mention of automated per-response quality scoring or transparent prompt methodology
- No indication of a voice AI interview option or guided screen-share tasks for deeper behavioral insight
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.