Stakeholder Interview Eligibility Screener
Pre-qualifies potential stakeholder interviewees by assessing role fit, recent domain involvement, and scheduling availability for 45–60 minute research sessions.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
Which option best describes your relationship with the organization conducting this study?
- Internal (employee or contractor)
- External (customer, partner, or prospect)
- Other (please specify)
In the past 3 months, how often have you completed tasks or used tools related to [RESEARCH TOPIC]?
- Daily
- Weekly
- Monthly
- Rarely
- Never
Are you able to participate in a single 10 minutes online session?
- Yes
- No
- Depends on timing
What is your age range?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Is there anything else we should know about your role, recent experience, or scheduling before we follow up?
Which department do you primarily work in?
- Engineering / IT
- Product / Design / UX
- Marketing
- Sales / Business Development
- Customer Support / Success
- Operations
- Finance / Legal
- HR / People
- Executive / Leadership
- Other (please specify)
Which tools or platforms do you commonly use for [RESEARCH TOPIC]-related work? (Select all that apply)
- Zoom
- Microsoft Teams
- Slack
- Google Workspace
- Microsoft 365
- Jira / Trello / Asana
- CRM (e.g., Salesforce, HubSpot)
- None of these
- Other (please specify)
What is your primary time zone?
- Pacific (US/Canada)
- Mountain (US/Canada)
- Central (US/Canada)
- Eastern (US/Canada)
- Atlantic (Canada/Caribbean)
- UK / Ireland (GMT/BST)
- Central Europe (CET)
- Eastern Europe (EET)
- Middle East (GST/AST)
- East Africa (EAT)
- West/Central Africa (WAT/CAT)
- India / Sri Lanka (IST)
- Southeast Asia (ICT/WIB)
- East Asia — China/Singapore (CST/SGT)
- Japan / Korea (JST/KST)
- Australia / New Zealand (AEST/NZST)
- Latin America (various)
- Other
Which best describes your gender identity?
- Woman
- Man
- Non-binary
- Self-describe (please specify)
- Prefer not to say
Thank you for your time — we'll review your responses and follow up within 5 business days if there's a fit. If you have any questions in the meantime, please contact the research team.
What is your current relationship to the organization?
- Current customer
- Former customer
- Partner
- Prospect evaluating
- Vendor / Supplier
- Other (please specify)
Briefly describe a recent task you completed related to [RESEARCH TOPIC] (within the past 30 days).
Which times generally work for you in the next 14 days? (Select all that apply)
- Weekdays: Morning
- Weekdays: Afternoon
- Weekdays: Evening
- Weekends: Morning
- Weekends: Afternoon
- Not available in the next 14 days
Where do you primarily reside?
- North America
- Central America / Caribbean
- South America
- Western Europe
- Eastern Europe
- Middle East
- North Africa
- Sub-Saharan Africa
- South Asia
- East Asia
- Southeast Asia
- Central Asia
- Oceania
- Prefer not to say
In the past 6 months, how much influence have you had on product- or process-related decisions at your organization?
- None
- Minimal — I provide input but don't decide
- Moderate — I influence some decisions
- Significant — I drive most decisions in my area
- Primary decision-maker
Based on the task you described, we'd like to understand a bit more about your recent experience and how it relates to this study.
Are you comfortable being audio/video recorded for research analysis?
- Yes
- No
What is the highest level of education you have completed?
- Secondary / High school or equivalent
- Some college / Associate degree
- Bachelor's degree
- Postgraduate / Professional degree
- Prefer not to say
Have you participated in a research session with this organization in the past 60 days?
- Yes
- No
- Not sure
Do you have access to a computer with a webcam and microphone for an online session?
- Yes
- No
- I can use a mobile device only
What is your current employment status?
- Employed full-time
- Employed part-time
- Self-employed
- Student
- Not employed
- 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.
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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