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Marketing & Growth

Prospect Purchase Barriers & Risk Perception Survey

Identifies perceived risks, unmet needs, and key barriers among prospective buyers to inform messaging strategy and conversion optimization.

Sample questions

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

23 questions · ~10 min
Q01
Message

Welcome, and thank you for participating! This brief survey (approximately 11 minutes) asks about your experience when considering products or services like this one. • Your participation is entirely voluntary, and you may stop at any time. • There are no right or wrong answers—we are interested in your honest opinions. • All responses are confidential, will be anonymized, and reported only in aggregate. • Your answers will be used to help us improve our products and communications. Please click 'Next' to begin.

Q02
Multiple Choice

Which of the following best describes where you are in considering products or services like this?

  • Actively comparing options now
  • Looked at options in the last 3 months
  • Interested but not planning to buy soon
  • Not considering within the next 6 months
Q03
Multiple Choice

Which of the following would most increase your likelihood of making a purchase? Select up to 2.

  • Lower price or limited-time discount
  • Recommendation from someone I trust
  • Positive expert or user reviews
  • A new feature that solves my specific need
  • Easier setup or onboarding
  • Free trial or sample
  • Money-back guarantee or easy returns
  • Other (please specify)
Q04
Message

We'd like to understand how concerned you are about different types of risk when considering this kind of purchase. Please rate each on the scale provided.

Q05
Ranking

Rank the following by importance when choosing a provider (drag to reorder; 1 = most important).

  1. Total cost of ownership
  2. Feature set
  3. Ease of setup and use
  4. Trust in brand or vendor
  5. Reviews and testimonials
  6. Integration and compatibility
Drag to rank
Q06
AI Interview

Thank you for your answers so far. I'd like to explore a couple of your responses in more depth. Could you tell me more about the main concern or hesitation you have when evaluating this type of product or service?

Q07
Long Text

Based on your responses in this survey, is there anything else you'd like to share about your experience evaluating products or services like this?

Q08
Dropdown

What is your age?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q09
Message

Thank you for your time—your input is invaluable in helping us improve. You may now close this window.

Q10
Dropdown

Regardless of how likely you are to buy, when do you think you might make a decision about this type of product or service?

  • Within 2 weeks
  • 2–4 weeks
  • 1–3 months
  • More than 3 months
  • Not sure
Q11
Multiple Choice

What is the single biggest barrier, if any, preventing you from purchasing right now?

  • Price or cost
  • Value not clear enough
  • Trust in brand or vendor
  • Complex setup or time required
  • Compatibility or integration risk
  • Ongoing maintenance or hidden costs
  • Lack of a specific feature
  • Payment or financing limitations
  • Low relevance to me right now
  • Budget constraints
  • Timing isn't right
  • No significant barrier
  • Other (please specify)
Q12
Opinion Scale

Financial risk (e.g., wasting money, unexpected costs)

Scale: 17
Min:Not at all concernedMax:Extremely concerned
Q13
Long Text

If you could change or add one thing about products or services like this, what would make you much more likely to purchase?

Q14
Multiple Choice

How do you describe your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q15
Multiple Choice

Which of the following sources, if any, have you used to gather information about this type of product or service in the last 3 months? Select all that apply.

  • Search engines
  • Brand websites
  • Independent review sites
  • Social media or online communities
  • Friends or colleagues
  • In-store or branch visit
  • Online marketplaces
  • None of the above
  • Other (please specify)
Q16
Opinion Scale

How confident are you that this type of product or service would meet your needs?

Scale: 17
Min:Not at all confidentMax:Extremely confident
Q17
Opinion Scale

Performance risk (e.g., product does not work as expected)

Scale: 17
Min:Not at all concernedMax:Extremely concerned
Q18
Dropdown

In which region do you currently live?

  • Africa
  • Asia
  • Europe
  • North America
  • Oceania
  • South America
  • Prefer not to say
Q19
Opinion Scale

Time/effort risk (e.g., difficult setup, steep learning curve)

Scale: 17
Min:Not at all concernedMax:Extremely concerned
Q20
Multiple Choice

What is the highest level of education you have completed?

  • Some high school
  • High school diploma or equivalent
  • Some college/university
  • Associate degree
  • Bachelor's degree
  • Postgraduate degree
  • Trade/technical/vocational training
  • Prefer not to say
Q21
Opinion Scale

Privacy/security risk (e.g., data misuse, security vulnerabilities)

Scale: 17
Min:Not at all concernedMax:Extremely concerned
Q22
Multiple Choice

What is your current employment status?

  • Full-time employed
  • Part-time employed
  • Self-employed
  • Student
  • Homemaker/caregiver
  • Unemployed and looking for work
  • Retired
  • Unable to work
  • Prefer not to say
Q23
Opinion Scale

Social risk (e.g., others judging your choice, choosing a lesser-known brand)

Scale: 17
Min:Not at all concernedMax:Extremely concerned

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 dedicated risk-perception battery that separately scores financial, performance, time/effort, privacy/security, and social risk—something no generic prospect form captures.
  • Features an AI follow-up interview that adaptively probes inconsistent or interesting prior answers instead of relying on static, one-size-fits-all questions.
  • Pairs closed-ended funnel questions (purchase stage, timing, information sources, biggest barrier) with a ranking exercise and open-text prompts to surface unmet needs and desired changes.
  • Automated per-response quality scoring and an auto-generated report turn raw answers into messaging/conversion insights without manual coding.

Typeform

Free Prospective Client Form Template

This is a lead-capture/intake form aimed at collecting basic details from prospective clients, not a structured market-research instrument for purchase barriers or risk perception. It's fielding-ready as a contact form but doesn't contain barrier, risk, or unmet-needs question batteries. Best viewed as a top-of-funnel form rather than a competing research survey.

What it does well

  • Clean, conversational Typeform interface that's easy to embed on landing pages
  • Low-friction way to capture prospective client contact and basic qualifying info
  • Familiar, widely-used builder with fast setup

Where it falls short

  • No adaptive AI follow-up interview or voice AI capability—questions are static and identical for every respondent
  • No automated per-response quality scoring or auto-generated analytical report
  • Lacks any structured risk-perception measurement (financial, performance, time, privacy, social) or ranking-based tradeoff exercise

Frequently asked questions

What questions are in the “Prospect Purchase Barriers & Risk Perception Survey” template?

The template includes 23 ready-to-use questions, starting with: “Welcome, and thank you for participating! This brief survey (approximately 11 minutes) asks about your experience when c…” · “Which of the following best describes where you are in considering products or services like this?” · “Which of the following would most increase your likelihood of making a purchase? Select up to 2.”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 23 questions in about 10 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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