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Household Survey
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Survey

Household Survey

Household Survey template with ready-made questions — customize, publish and start collecting responses in minutes.

12 fields Ready to publish

What's included

  • 1
    Number of people in your household
    RequiredNumber
  • 2
    Housing type
    Own home · Rent · Living with family · Other
    RequiredDropdown
  • 3
    Household income range
    Under $25k · $25k-$50k · $50k-$100k · $100k+ · Prefer not to say
    RequiredDropdown
  • 4
    Primary transport
    Car · Public transport · Bicycle · Walking · Other
    RequiredDropdown
  • 5
    Biggest household expense concern
    Long text
  • 6
    Name (optional)
    Short text
  • 7
    Email (optional)
    Email
  • 8
    Overall rating
    RequiredRating
  • 9
    What worked well?
    Long text
  • 10
    What should we improve?
    RequiredLong text
  • 11
    How likely are you to recommend us?
    Very likely · Likely · Neutral · Unlikely · Very unlikely
    Dropdown
  • 12
    How often do you use this?
    Daily · Weekly · Monthly · Rarely · First time
    Dropdown

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