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Industry-Specific

Retail Receipt Format & Data Privacy Preferences Survey

Measures in-store shoppers' preferences for digital versus paper receipts and their comfort with retailer data use, informing receipt digitization and privacy strategy decisions.

Sample questions

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

24 questions · ~11 min
Q01
Message

Welcome! This survey explores your preferences for receipt formats (paper vs. digital) and your views on how retailers use receipt-related data. It should take approximately 11 minutes. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers — we're interested in your honest opinions. All responses are confidential and will be reported only in aggregate. Please click 'Next' to begin.

Q02
Multiple Choice

In the past 30 days, approximately how many in-store shopping trips have you made?

  • 0
  • 1–2
  • 3–5
  • 6–10
  • 11 or more
Q03
Multiple Choice

When you have a choice, which receipt format do you generally prefer?

  • Digital receipt
  • Paper receipt
  • No preference
  • It depends
  • No receipt
Q04
Opinion Scale

Overall, how satisfied are you with the receipt format you typically receive?

Scale: 17
Min:Not at all satisfiedMax:Extremely satisfied
Q05
Multiple Choice

Which of the following would you be comfortable sharing with a retailer to receive digital receipts? Select all that apply.

  • Email address
  • Mobile number
  • Retailer app account
  • Mobile wallet (Apple/Google)
  • I prefer not to share any contact info
  • Other
Q06
Multiple Choice

Which of the following controls would make you more comfortable with digital receipts? Select all that apply.

  • Clear opt-out for marketing
  • Use contact info only for receipts
  • Ability to delete my data anytime
  • See and download my stored data
  • Short data retention (e.g., 30 days)
  • None of these
  • Other
Q07
Long Text

Based on your responses in this survey, please share any additional thoughts or feelings about receipt formats or how retailers handle your data.

Q08
Dropdown

What is your age range?

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

Thank you for completing this survey. Your responses have been recorded and will be kept confidential. If you have any questions, please contact the research team.

Q10
Multiple Choice

For your most recent in-store purchase, what type of receipt did you receive, if any?

  • Paper only
  • Digital only (email/app/SMS)
  • Both paper and digital
  • No receipt
Q11
Multiple Choice

In the past 3 months, which digital receipt channels have you used? Select all that apply.

  • Email
  • Text/SMS
  • Retailer app
  • Mobile wallet (Apple/Google)
  • QR code link
  • Post-purchase web portal
  • Other
  • None of these
Q12
Opinion Scale

How likely are you to switch to (or continue using) digital receipts as your primary format in the next 6 months?

Scale: 17
Min:Not at all likelyMax:Extremely likely
Q13
Opinion Scale

How comfortable are you with a retailer using your receipt data to send you personalized offers or coupons?

Scale: 17
Min:Not at all comfortableMax:Completely comfortable
Q14
Opinion Scale

How much do you trust the retailer you shop at most often to protect your receipt data?

Scale: 17
Min:Not at allMax:Completely
Q15
AI Interview

We'd like to explore your thoughts on receipt preferences and data privacy in a bit more depth. Please share openly — there are no right or wrong answers.

Q16
Multiple Choice

Which of the following best describes your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q17
Multiple Choice

If you ever choose paper receipts, what are the main reasons? Select all that apply.

  • Habit / what I'm used to
  • Easier to verify purchase right away
  • Prefer not to share contact info
  • Paper works better for returns
  • I keep paper records
  • Store doesn't offer digital
  • Other
  • Not applicable — I never choose paper
Q18
Opinion Scale

How comfortable are you with a retailer tracking your purchase history over time using receipt data?

Scale: 17
Min:Not at all comfortableMax:Completely comfortable
Q19
Dropdown

Which region do you currently live in?

  • North America
  • Europe
  • Asia-Pacific
  • Latin America
  • Middle East/Africa
  • Prefer not to say
Q20
Multiple Choice

If you ever choose digital receipts, what are the main reasons? Select all that apply.

  • Convenient / always accessible on my phone
  • Better for the environment
  • Easier to search and organize
  • Automatically links to loyalty/rewards
  • Reduces paper clutter
  • Required by the retailer
  • Other
  • Not applicable — I never choose digital
Q21
Opinion Scale

How comfortable are you with a retailer using your receipt data to process returns or warranty claims?

Scale: 17
Min:Not at all comfortableMax:Completely comfortable
Q22
Dropdown

What is the highest level of education you have completed?

  • Some high school or less
  • High school or equivalent
  • Some college / associate degree
  • Bachelor's degree
  • Postgraduate degree
  • Prefer not to say
Q23
Opinion Scale

How comfortable are you with a retailer sharing your receipt data with third-party partners?

Scale: 17
Min:Not at all comfortableMax:Completely comfortable
Q24
Multiple Choice

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker/caregiver
  • Unemployed
  • Retired
  • Prefer not to say

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 “Retail Receipt Format & Data Privacy Preferences Survey” template?

The template includes 24 ready-to-use questions, starting with: “Welcome! This survey explores your preferences for receipt formats (paper vs. digital) and your views on how retailers u…” · “In the past 30 days, approximately how many in-store shopping trips have you made?” · “When you have a choice, which receipt format do you generally prefer?”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 24 questions in about 11 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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