Example Community-Driven Impact Survey

This is a template only.

Use the top two questions and then select which of the three following options are best suited to you.

Question Title

* 1. Approximately how many posts have you published to the community?

1 - 5

6 - 10

10 to 24

25 to 49

50 to 100

100+

Question Title

* 2. Approximately how frequently do you visit the community?

Every day

A few times a week

About once a week

A few times a month

Once a month

Less than once a month

Question Title

* 3. Option 1: To what degree did the community influence or not influence your decision to renew or cancel your subscription?

Decisive impact on cancellation

Major impact on cancellation

Minor impact on cancellation

No impact on renewal or cancellation

Minor impact on renewal

Major impact on renewal

Decisive impact on renewal

Question Title

* 4. Option 2: On a scale of 0 - 10, how has the [brand] community influenced your decision to [renew subscription]?

0 - No Impact

10 - Decisive impact

0 - No Impact

10 - Decisive impact

Question Title

* 5. Option 3: On a scale of 0 - 10, how have the following influenced your decision to renew your subscription?

	0 - No Impact	1	2	3	4	5	6	7	8	9	10 - Decisive impact
The [brand] community	The [brand] community 0 - No Impact	The [brand] community 1	The [brand] community 2	The [brand] community 3	The [brand] community 4	The [brand] community 5	The [brand] community 6	The [brand] community 7	The [brand] community 8	The [brand] community 9	The [brand] community 10 - Decisive impact
Customer support	Customer support 0 - No Impact	Customer support 1	Customer support 2	Customer support 3	Customer support 4	Customer support 5	Customer support 6	Customer support 7	Customer support 8	Customer support 9	Customer support 10 - Decisive impact
Ease of use	Ease of use 0 - No Impact	Ease of use 1	Ease of use 2	Ease of use 3	Ease of use 4	Ease of use 5	Ease of use 6	Ease of use 7	Ease of use 8	Ease of use 9	Ease of use 10 - Decisive impact
Outcomes of using the product	Outcomes of using the product 0 - No Impact	Outcomes of using the product 1	Outcomes of using the product 2	Outcomes of using the product 3	Outcomes of using the product 4	Outcomes of using the product 5	Outcomes of using the product 6	Outcomes of using the product 7	Outcomes of using the product 8	Outcomes of using the product 9	Outcomes of using the product 10 - Decisive impact
Price	Price 0 - No Impact	Price 1	Price 2	Price 3	Price 4	Price 5	Price 6	Price 7	Price 8	Price 9	Price 10 - Decisive impact
Annual conference	Annual conference 0 - No Impact	Annual conference 1	Annual conference 2	Annual conference 3	Annual conference 4	Annual conference 5	Annual conference 6	Annual conference 7	Annual conference 8	Annual conference 9	Annual conference 10 - Decisive impact
Etc...	Etc... 0 - No Impact	Etc... 1	Etc... 2	Etc... 3	Etc... 4	Etc... 5	Etc... 6	Etc... 7	Etc... 8	Etc... 9	Etc... 10 - Decisive impact