Q01
Message
All templatesCustomer Experience
Loyalty Program Satisfaction & Engagement Survey
Measures member satisfaction, benefit relevance, redemption experience, and tier engagement for retail loyalty programs. Designed for enrolled or lapsed members to identify drivers of retention and program optimization opportunities.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
21 questions · ~10 min
Q02
Multiple Choice
Which of the following best describes your current relationship with our rewards program?
- Enrolled and active (used it in the last 6 months)
- Enrolled but inactive (no use in the last 6 months)
- Not enrolled
- Not sure
Q03
Opinion Scale
Overall, how satisfied are you with our rewards program?
Scale: 1 – 7
Min:Not at all satisfiedMax:Extremely satisfied
Q04
Ranking
Please rank the following loyalty program benefits from most to least valuable to you.
- Discounts on purchases
- Free or discounted shipping
- Early access to sales or new products
- Birthday or anniversary rewards
- Cashback or statement credits
- Exclusive member events or experiences
Drag to rank
Q05
Dropdown
Approximately how many times did you redeem points or rewards in the last 6 months?
- 0 (none)
- 1–2 times
- 3–5 times
- 6–10 times
- More than 10 times
Q06
Multiple Choice
How familiar are you with our program tiers (e.g., Silver, Gold)?
- Very familiar
- Somewhat familiar
- Have heard of them but don't know the differences
- Not familiar at all
- I don't believe the program has tiers
Q07
AI Interview
Thinking about your overall experience with our rewards program, what is the single most important change we could make to improve it for you?
Q08
Multiple Choice
What is your age group?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Q09
Message
Thank you for taking the time to share your feedback. Your responses will help us improve the rewards program for all members.
Q10
Multiple Choice
In the last 6 months, how often did you shop with us?
- More than once a week
- About once a week
- 2–3 times a month
- About once a month
- Less than once a month
- I haven't shopped in the last 6 months
Q11
Opinion Scale
How likely are you to recommend our rewards program to a friend or family member?
Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q12
Long Text
If we could add one new benefit to the rewards program, what would be most valuable to you?
Q13
Opinion Scale
The last time you tried to redeem rewards, how easy or difficult was the process?
Scale: 1 – 5
Min:Very difficultMax:Very easy
Q14
Opinion Scale
The differences between program tiers are clear to me.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q15
Multiple Choice
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer not to say
Q16
Multiple Choice
Which, if any, of the following issues made it harder for you to redeem rewards? Select all that apply.
- Not enough points to redeem
- Complicated steps or too many clicks
- Unclear terms or exclusions
- Technical issues (site or app errors)
- Rewards unavailable or blackout dates
- Points expired before I used them
- Other (please specify)
- None of the above
Q17
Opinion Scale
The rewards improve meaningfully as I move to a higher tier.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q18
Dropdown
In which country or region do you currently reside?
- United States
- Canada
- United Kingdom
- Australia
- Germany
- France
- India
- Other (please specify)
- Prefer not to say
Q19
Opinion Scale
The effort required to reach or maintain a higher tier feels worthwhile.
Scale: 1 – 7
Min:Strongly disagreeMax:Strongly agree
Q20
Multiple Choice
What is the highest level of education you have completed?
- Some high school or less
- High school diploma or equivalent
- Some college / Associate degree
- Bachelor's degree
- Postgraduate or professional degree
- Prefer not to say
Q21
Opinion Scale
How motivated are you to reach or maintain a higher tier?
Scale: 1 – 5
Min:Not at all motivatedMax:Extremely motivated
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
- Purpose-built for loyalty programs, covering enrollment status, shopping frequency, tier familiarity, and redemption friction, not just generic 'program satisfaction.'
- Includes a ranking question for benefit prioritization and a dedicated redemption-difficulty and issue-diagnosis flow, giving actionable detail beyond a single satisfaction score.
- Uses an AI follow-up interview question to let members explain their overall experience in their own words, with adaptive probing rather than a single static open-text box.
- Separately measures tier clarity, perceived value of tier upgrades, and motivation to advance tiers — dimensions generic satisfaction templates don't ask about.
Jotform
Program Satisfaction Survey Form TemplateA generic program satisfaction form that could be adapted to a loyalty context but isn't built around loyalty-specific mechanics like tiers or point redemption. It's a static, editable form template rather than a fielding-ready loyalty survey with built-in logic. Best suited for teams who want to build their own loyalty-specific questions from scratch.
What it does well
- Easy drag-and-drop customization typical of Jotform's form builder
- Broad applicability across many types of 'programs,' not locked to one industry
- Free-to-start form building with export/reporting options
Where it falls short
- No loyalty-specific structure (tiers, redemption, points) built into the template
- Static question set with no adaptive AI follow-up probing on open-ended answers
- No published methodology for how responses are scored or interpreted
Typeform
Program Satisfaction Survey TemplateA conversational-style generic program satisfaction template, likely strong on visual design and completion experience but not tailored to loyalty program specifics like tier engagement or redemption experience. It's a general-purpose starting point rather than a loyalty-optimized instrument. Teams would need to add their own benefit-ranking, redemption, and tier questions manually.
What it does well
- Polished, conversational question flow that Typeform is known for
- Simple one-question-at-a-time UX that can improve completion rates
- Flexible enough to repurpose for various 'program' contexts
Where it falls short
- No loyalty-program-specific question set (tiers, points, redemption friction)
- No adaptive AI interviewing or voice interview option to probe open-ended responses
- No automated per-response quality scoring or transparent prompt disclosure
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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