Q01
Message
All templatesSample Templates
Restaurant Allergen Safety & Communication Experience Survey
Measures diners' experiences with allergen communication, cross-contact prevention, and staff responsiveness to identify gaps in restaurant food safety practices and strengthen guest trust.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
23 questions · ~10 min
Q02
Multiple Choice
How often do you dine at restaurants (eat-in) in a typical month?
- Daily or almost daily
- A few times per week
- About once per week
- 2–3 times per month
- About once per month
- Less than once per month
Q03
Multiple Choice
Which best describes your situation regarding food allergies or sensitivities?
- I have a diagnosed food allergy
- I have a food intolerance or sensitivity
- I regularly dine with someone who has a food allergy
- I do not have allergies or sensitivities relevant to dining
Q04
Multiple Choice
Before choosing a place to eat, which sources do you check for allergy information? (Select all that apply.)
- Restaurant website allergen info
- Menu or tags on delivery apps
- Call ahead to ask
- Reviews or allergy forums
- Social media posts
- I usually don't check in advance
Q05
Opinion Scale
When dining out, how often do you inform restaurant staff about food allergy or sensitivity needs?
Scale: 1 – 7
Min:NeverMax:Always
Q06
Ranking
Rank the following improvements from most to least important for allergy-safe dining.
- Clear, standardized menu labels
- Staff training on allergens and cross-contact
- Separate prep area/equipment for allergens
- Ingredient transparency from suppliers
- Allergen filters on online menus
Drag to rank
Q07
AI Interview
We'd like to understand more about your dining safety experiences. A few brief follow-up questions will appear based on your earlier responses.
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 your time—your feedback will help improve allergen safety practices in restaurant dining.
Q10
Multiple Choice
Which type of restaurant or food service do you use most often?
- Casual dine-in
- Fast casual / quick service
- Fine dining
- Cafes / coffee shops
- Food trucks / markets
- Takeout / delivery
- Hotel restaurants
- Campus / workplace cafeterias
- Other (please specify)
Q11
Multiple Choice
Which allergens are relevant to you or your dining party when eating out? (Select all that apply.)
- Milk / dairy
- Eggs
- Peanuts
- Tree nuts
- Fish
- Shellfish
- Soy
- Wheat / gluten
- Sesame
- Other (please specify)
- Not applicable
Q12
Multiple Choice
Which methods are most helpful for restaurants to communicate allergen information? (Select all that apply.)
- Menu symbols or icons
- Allergen matrix or binder on request
- Digital menus with allergen filters
- Servers proactively ask about allergies
- Chef or manager available to discuss
- Dedicated allergen-friendly menu
- Table or counter signage
- Detailed ingredient lists on website
Q13
Opinion Scale
How confident are you that the restaurants you visit manage allergen cross-contact safely?
Scale: 1 – 7
Min:Not at all confidentMax:Extremely confident
Q14
Multiple Choice
If a restaurant could fully assure allergy-safe handling, how much extra would you be willing to pay as a percentage of your meal price?
- 0% — I would not pay extra
- 1–5%
- 6–10%
- 11–15%
- 16–20%
- More than 20%
Q15
Long Text
Based on your responses in this survey, please share any additional thoughts or suggestions for how restaurants can better support safe, confident dining for guests with food allergies.
Q16
Multiple Choice
Which of the following best describes your gender?
- Woman
- Man
- Non-binary
- Prefer not to say
Q17
Multiple Choice
What reaction severity do you typically plan for when choosing a restaurant?
- Mild (e.g., stomach upset, mild rash)
- Moderate (e.g., hives, swelling)
- Severe (e.g., anaphylaxis)
- Not sure / varies
- Not applicable
Q18
Opinion Scale
How clear is the allergen information on physical menus at restaurants you visit?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q19
Multiple Choice
In the last 12 months, did you experience an allergy-related mistake at a restaurant?
- Yes, resulted in a reaction
- Yes, but caught before eating
- No
- Prefer not to say
Q20
Dropdown
Where do you currently live?
- Africa
- Asia
- Australia / Oceania
- Europe (incl. UK)
- Middle East
- North America
- South America
- Central America / Caribbean
Q21
Opinion Scale
How clear is the allergen information on restaurant websites or delivery apps?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q22
Opinion Scale
Thinking about your most recent dine-in visit, how satisfied were you with how staff handled allergy-related requests or questions?
Scale: 1 – 5
Min:Very dissatisfiedMax:Very satisfied
Q23
Opinion Scale
How clear is the allergen information communicated verbally by restaurant staff?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
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.
Frequently asked questions
What questions are in the “Restaurant Allergen Safety & Communication Experience Survey” template?
The template includes 23 ready-to-use questions, starting with: “Welcome! This survey explores your experiences with restaurant dining and food allergy communication. It takes approxima…” · “How often do you dine at restaurants (eat-in) in a typical month?” · “Which best describes your situation regarding food allergies or sensitivities?”. 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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