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
Thank you for being a member. This short survey asks about your membership so far and what would make it more worthwhile for you.
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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
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Overall, how satisfied are you with your membership?
Choose one:
- 1 - Very dissatisfied
- 2
- 3
- 4
- 5 - Very satisfied
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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
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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
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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
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What one change would most improve the membership program for you, and what difference would it make?
Open answer
About You
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What is your gender?
Choose one:
- Female
- Male
- Another gender
- Prefer not to say
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How old are you?
A number from 16 to 110