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Questionnaire template

Membership Program Feedback

Measures member satisfaction, use of membership benefits and interest in new benefits, with basic member demographics.

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Questions in this template

Your Membership

  1. Thank you for being a member. This short survey asks about your membership so far and what would make it more worthwhile for you.

  2. How long have you been a member?

    Choose one:

    • Less than 6 months
    • 6 to 12 months
    • 1 to 2 years
    • More than 2 years
  3. Overall, how satisfied are you with your membership?

    Choose one:

    • 1 - Very dissatisfied
    • 2
    • 3
    • 4
    • 5 - Very satisfied
  4. Have you used each of these member benefits?

    • Member discounts
    • Members-only events
    • Priority customer support

    For each row: choose one:

    • Yes
    • No
    • I was not aware of this benefit
  5. Which new benefits would you value? Select all that apply.

    Choose any that apply:

    • Discounts on more product ranges
    • More members-only events
    • Longer customer support hours
  6. Anything you would like to add about the benefits you selected? (optional)

    Condition: Shown when at least one benefit was selected

    Open answer

Improving the Program

  1. What one change would most improve the membership program for you, and what difference would it make?

    Open answer

About You

  1. What is your gender?

    Choose one:

    • Female
    • Male
    • Another gender
    • Prefer not to say
  2. How old are you?

    A number from 16 to 110