Loyalty Program Survey Template

1. What is your age?

The answer should be a single choice:

1. Under 18
2. 18-24
3. 25-34
4. 35-44
5. 45-54
6. 55-64
7. 65 or older

2. What is your gender?

The answer should be a single choice:

1. Male
2. Female
3. Non-binary
4. Prefer not to answer

3. How frequently do you participate in loyalty programs?

The answer should be a single choice:

1. Almost always
2. Frequently
3. Occasionally
4. Rarely
5. Never

4. Which loyalty programs do you participate in currently? (Select all that apply)

The answer should be a multiple choice:

1. Retail stores
2. Grocery stores
3. Restaurants
4. Hotels
5. Airlines

5. How satisfied are you with our loyalty program?

The answer should be a single choice:

1. Very satisfied
2. Somewhat satisfied
3. Neutral
4. Somewhat dissatisfied
5. Very dissatisfied

6. What do you like most about our loyalty program?

The answer should be a multi line text input.

7. What do you like least about our loyalty program?

The answer should be a multi line text input.

8. Which loyalty program benefits are most important to you? (Select up to three)

The answer should be a multiple choice:

1. Discounts
2. Free items
3. Points or rewards
4. Exclusive offers
5. Early access to sales or products

9. Have you redeemed any loyalty program rewards?

The answer should be a single choice:

1. Yes
2. No

10. If yes, which rewards have you redeemed? (Select all that apply)

The answer should be a multiple choice:

1. Discounts
2. Free items
3. Points or rewards
4. Exclusive offers
5. Early access to sales or products
6. N/A

11. If no, what would motivate you to redeem your rewards?

The answer should be a multi line text input.

12. How do you prefer to receive information about our loyalty program? (Select all that apply)

The answer should be a multiple choice:

1. Email
2. Text message
3. App notification
4. Postal mail
5. In-store signage

13. How often do you want to receive communication from our loyalty program?

The answer should be a single choice:

1. Daily
2. Weekly
3. Monthly
4. Quarterly
5. Annually
6. Only when there are new benefits or promotions

14. Do you have any additional feedback or suggestions for our loyalty program?

The answer should be a multi line text input.