Q01
Message
All templatesIndustry-Specific
Likert Scale Statement Agreement Survey
A flexible agree-disagree battery for measuring attitudes toward a product, policy, workplace practice, or service — built around a classic multi-statement rating grid. Swap in your own statements, then let the AI follow-up dig into the reasoning behind whichever statement swayed the respondent's opinion most, closed or neutral answers included.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
10 questions · ~6 min
Q02
MatrixRequired
How much do you agree or disagree with each statement below? (Template note: replace these five statements with the specific claims you want to test, e.g. about your product, workplace, or service.)
5 rows × 5 columns
- (Replace with Statement 1, e.g. 'The onboarding process was easy to follow')
- (Replace with Statement 2, e.g. 'I received help quickly when I needed it')
- (Replace with Statement 3, e.g. 'The pricing feels fair for the value I get')
- (Replace with Statement 4, e.g. 'I would recommend this to a colleague')
- (Replace with Statement 5, e.g. 'This fits naturally into my daily routine')
Columns: Strongly Disagree · Disagree · Neutral · Agree · Strongly Agree
Q03
Opinion ScaleRequired
Taking all of those statements together, how well do they reflect your overall experience?
Scale: 1 – 5
Min:Not at allMax:Extremely well
Q04
Multiple ChoiceRequired
Which single statement above had the biggest effect on your overall opinion, whether positive or negative?
- (Replace with Statement 1)
- (Replace with Statement 2)
- (Replace with Statement 3)
- (Replace with Statement 4)
- (Replace with Statement 5)
Q05
Ranking
Now rank all five statements from most important to least important in shaping your overall view.
- (Replace with Statement 1)
- (Replace with Statement 2)
- (Replace with Statement 3)
- (Replace with Statement 4)
- (Replace with Statement 5)
Drag to rank
Q06
AI Interview
Ask the respondent to explain, in their own words, why the statement they picked as most influential earned the agreement or disagreement rating it did on the grid above. Anchor on specific examples or moments rather than general impressions. If their rating was 'Neutral' or they seem unsure, probe what would need to change to move them clearly toward agreement or disagreement.
Q07
Long Text
Is there a statement we didn't ask about that you'd want us to include next time?
Q08
Multiple Choice
Which best describes your relationship to (Replace with the topic, e.g. 'this product/this workplace')?
- (Replace with Group A, e.g. 'New user, less than 3 months')
- (Replace with Group B, e.g. 'Established user, 3+ months')
- (Replace with Group C, e.g. 'Team lead/manager')
- Prefer not to say
Q09
Multiple Choice
What is your age range?
- Under 25
- 25-34
- 35-44
- 45-54
- 55-64
- 65+
- Prefer not to say
Q10
Message
That's everything, thank you! Your ratings and the follow-up conversation will be combined into a report on which statements matter most and why.
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 a full multi-statement agree-disagree matrix that you customize with your own statements (product, policy, workplace, or service topic)
- Automatically identifies which statement swayed the respondent most via a dedicated multiple-choice question, then triggers an AI follow-up interview asking them to explain their reasoning in their own words
- Goes beyond the rating grid with an overall opinion-scale check, a full importance ranking of all statements, and an open-ended question inviting missing statements for next time
- Captures relationship-to-topic and age-range segmentation alongside the ratings, then auto-compiles everything -- scores, rankings, and interview transcript -- into one report
QuestionPro
Even Likert Scale Survey Questions TemplateThis is a template page focused specifically on even-point (forced-choice) Likert scales, with sample question wording researchers can adapt. It's fielding-ready within QuestionPro's survey builder but is oriented around scale construction rather than a specific attitude topic. No mention of any conversational or adaptive follow-up capability.
What it does well
- Established survey platform with broad question-type library and distribution tools
- Specifically addresses even-point Likert design, useful for avoiding neutral-midpoint bias
- Sample items are ready to adapt for many topics
Where it falls short
- Static rating grid only -- no adaptive follow-up that probes why a specific statement drove the respondent's opinion
- No built-in mechanism to identify and dig into the most influential statement per respondent
- No transparent, published prompt logic since there's no AI-driven questioning at all
SurveyMonkey
Likert Scale Survey TemplateA general-purpose, fielding-ready Likert scale template from a major survey platform, intended as a broad starting point for agreement-style questions. It covers the core rating grid but doesn't appear tailored to isolating which statement matters most or exploring respondent reasoning. Backed by SurveyMonkey's wider analytics and distribution ecosystem.
What it does well
- Well-known, easy-to-use platform with strong distribution and panel options
- Template is ready to deploy quickly for a generic agreement survey
- Broad reporting and analytics dashboard integration
Where it falls short
- No adaptive AI interview to explore the reasoning behind a respondent's most influential rating
- No ranking or importance-weighting step to complement the rating grid
- No per-response quality scoring or transparent prompt methodology since there's no AI questioning layer
SurveySparrow
Free Likert Scale Questionnaire TemplateA customizable, fielding-ready Likert scale questionnaire aimed at business use cases, explicitly flexible across different scale point counts. It emphasizes ease of customization for the rating grid itself rather than deeper follow-up on respondent reasoning. Presented as a free template within SurveySparrow's conversational-style survey product.
What it does well
- Conversational survey format may feel more engaging than a static grid
- Customizable to different Likert scale lengths for varied use cases
- Free template lowers the barrier to quickly field a basic version
Where it falls short
- No adaptive AI follow-up to dig into why a particular statement swayed opinion most
- No built-in ranking or open-ended gap-finding question about missing statements
- No documented per-response quality scoring or transparent AI prompt methodology
Frequently asked questions
What questions are in the “Likert Scale Statement Agreement Survey” template?
The template includes 10 ready-to-use questions, starting with: “Thanks for taking a few minutes for this survey! Your responses are completely confidential and anonymized. You'll rate…” · “How much do you agree or disagree with each statement below? (Template note: replace these five statements with the spec…” · “Taking all of those statements together, how well do they reflect your overall experience?”. The full set is previewed above, and every question is editable.
How long does this survey take to complete?
Respondents typically finish the 10 questions in about 6 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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