Restaurant Allergen Safety & Trust Survey
Measures diners' confidence in restaurant allergen communication, cross-contact prevention, and safety practices. Designed for consumers who manage food allergies or dine with someone who does.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
In the past 3 months, how often have you dined at restaurants?
- I have not dined at a restaurant
- Less than once per month
- About once per month
- 2–3 times per month
- About once per week
- A few times per week
- Daily or almost daily
When dining out in the past 6 months, how often did you or your dining party inform your server about food allergy needs?
How clear has allergen information on menus been at the restaurants where you have dined in the past 6 months?
Based on your experiences, what could restaurants do to better support safe dining for people with food allergies? Please be as specific as possible.
What is your age?
- Under 18
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65 or older
- Prefer not to say
Thank you for completing this survey! Your responses will help improve food allergy safety practices in restaurants. Your answers are confidential and will be reported only in aggregate.
Which of the following describe your dining experiences in the past 12 months? (Select all that apply)
- I have a diagnosed food allergy
- I have a suspected food allergy or intolerance
- I avoid certain foods for non-allergy reasons (e.g., dietary preference, religious observance)
- I regularly dine with someone who has a food allergy
- None of these
When dining out in the past 6 months, how often did you or your dining party check the menu for allergen information before ordering?
Overall, how confident are you that restaurant staff properly handle food allergy requests?
We'd like to understand your experiences with food allergy safety in restaurants in more depth. Please share your thoughts and our AI moderator will ask a couple of follow-up questions.
Which gender do you identify with?
- Woman
- Man
- Non-binary
- Prefer not to say
Which allergens do you or your usual dining party need to avoid? (Select all that apply)
- Peanuts
- Tree nuts
- Milk/dairy
- Eggs
- Soy
- Wheat/gluten
- Fish
- Shellfish
- Sesame
- Sulfites
- Other (please specify)
- None of these
When dining out in the past 6 months, how often did you or your dining party ask staff about food preparation methods or cross-contact risks?
How much do you trust restaurants in your area to safely prepare meals for diners with food allergies?
In which region do you most often dine out?
- North America
- South America
- Europe
- Africa
- Middle East
- Asia
- Oceania
- Prefer not to say
Which of the following ways do you prefer to communicate allergy needs to a restaurant? (Select all that apply)
- Tell the server in person
- Add notes to an online order
- Call ahead before arriving
- Add notes to a reservation
- Ask to speak with a manager
- Provide a printed allergy card
- Use a restaurant's allergy-specific ordering system
- Other (please specify)
In the past 12 months, what is the most serious allergy-related incident you or your dining party experienced while eating at a restaurant?
- No incidents
- Suspected cross-contact but no symptoms
- Mild reaction managed without medication
- Reaction requiring medication (e.g., antihistamine, epinephrine)
- Severe reaction requiring urgent medical care
- Prefer not to say
Please rank the following features from most to least important in making you feel safe when dining with food allergies.
- Clearly marked allergens on the menu
- Staff explicitly repeat back allergy notes
- Server or manager confirms with the kitchen
- Evidence of separate prep area or tools
- Chef or manager visits the table to discuss
- Dedicated fryers or cooking surfaces
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.
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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