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First Date Feedback Form

A playful follow-up after a first date. You both answer, and once each of you submits you see whether you both want a second date, without the awkward text.

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First Date Feedback Form

We both fill this in. Once you submit, you'll see if we picked the same answer for a second date.

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Sample questions

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

6 questions · ~2 min
Q01
Message

We both fill this in. Once you submit, you'll see if we picked the same answer for a second date.

Q02
Short TextRequired

Your first name

Q03
Rating ScaleRequired

Rate the date overall

Range: 1 – 5
Q04
Multiple Choice

Best part of the night?

  • 🍽️ The food
  • 💬 The conversation
  • 😂 The laughs
  • 📍 The place
  • 👋 Saying goodbye
Q05
Long Text

One thing I could do better next time

Q06
Multiple ChoiceRequired

Second date?

  • 🙌 Yes, let's plan it
  • 🤔 Maybe, ask me again
  • 🤝 Friends is better

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.

Why this template

What this template is built to do — we found no directly comparable template from other survey tools to review.

What sets it apart

  • 5 quick questions instead of an awkward text
  • Ends with the question that matters: second date?
  • Every question is editable

Frequently asked questions

What questions are in the “First Date Feedback Form” template?

The template includes 6 ready-to-use questions, starting with: “We both fill this in. Once you submit, you'll see if we picked the same answer for a second date.” · “Your first name” · “Rate the date overall”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 6 questions in about 2 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.

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