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Program participant survey template

Hear from the people you serve, in words anyone can answer

Three plain questions for the people who use your services: how their experience was, whether they were treated with respect, found the help useful and could get to it, and what you should change. Use it as it is or change any question, and Usertick reads every written answer for you.

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What this program participant survey tells you

A program participant survey asks the people your services exist for how they were treated and whether the help worked for them. This template takes about a minute in plain language: a face for the visit, four statements on respect, usefulness, access and knowing what to expect, and one open question on what to change.

It is written for the end of a visit or a service, shared as a QR code on a sign at the front desk or on the appointment card, so people answer on their own phone once they have left. The same link works in a follow-up email your own system sends, and anonymous responses hold for link or QR code surveys like this one.

Every written answer is read as it arrives, in any language, and filed under a category from your list, such as programs and services or communication, with a type, a sentiment and an urgency. Results shows the share of each face and a heat map of the four statements with row averages, against the period before.

As a linkOn your websiteIn an emailAs a conversation
Questions
3
Time to answer
About a minute
Written for
At the end of a visit, by QR code at the front desk
Plans
Every plan, the free plan included

See it on every channel

The same template on your website, behind a link, in an email and as a conversation.

The 3 questions, one by one

What each question asks, why it is there, what it shows you and what to change.

Question 1 of 3 · Emoji

How was your experience with us?

Why ask it
A face is easy to answer whatever a person's reading level or first language, so everyone can give the first answer.
What you learn
Results shows each face from Very bad to Very good with its share, against the period before. Select Bad or Very bad to read only those people's other answers. Over time, the shares show whether a change, such as a new waiting area or longer hours, made visits better.
Make it yours
Keep it first and required, so every answer at least tells you how the visit went.
Question 2 of 3 · Matrix · Optional

How much do you agree with these statements?

Why ask it
The four statements check what a service owes everyone who uses it: respect, help that works, a place people can reach and clear expectations. Each statement is short and written in the first person, so it reads easily on a phone.
What you learn
A heat map shows each statement from Strongly disagree to Strongly agree with its average, so a low score for It was easy to get to stands apart from a high one for respect.
Make it yours
Change It was easy to get to into the barrier that matters for your service, such as opening hours or waiting time, and keep the wording plain.
Question 3 of 3 · Text · Optional

What should we change?

Why ask it
The open question lets people say what the statements missed, in their own words and in any language.
What you learn
Usertick reads each answer as it arrives, in any language, files it under a category and a theme, marks it as a complaint, an idea or praise, and flags the urgent ones, such as a safety concern. Select a theme to read every answer filed under it.
Make it yours
Keep it optional and short, and read the urgent answers the same day.

What the answers show

Results turns each question into numbers you can follow week by week.

How much do you agree with these statements?

Each row's answers side by side, so the part that needs work stands out.

Every written answer, read for you

Each answer arrives with its category, theme, type and urgency, so the urgent ones reach your team first.

Use this template in four steps

From the template to the first answers.

  1. 1

    Open the template

    Sign up free and pick Program participant feedback in the template gallery. It opens in a matching style, ready to change.

  2. 2

    Make the questions yours

    Reword any question, change the options, and add logic or more questions.

  3. 3

    Choose where it runs

    Show it on your website, send it by email, share its link and QR code, or switch it to a conversation.

  4. 4

    Publish and read the answers

    Answers arrive in Results and the inbox as people send them, each written one read and filed by Usertick.

Tips for this survey

Small choices that keep people answering and the answers useful.

  1. 01

    Let people answer on their own phone

    Put the QR code on a sign by the exit or on the appointment card, so people answer after they leave and away from the staff who helped them.

  2. 02

    Turn on anonymous responses

    Anonymous responses store no user ID, traits or visitor ID with the answers, which holds for link or QR code surveys. Say on the sign that the survey doesn't ask for a name.

  3. 03

    Offer the languages people speak

    From Starter, add the languages your participants speak, by hand or with AI translation, and each person sees the survey in their browser's language.

  4. 04

    Leave out sensitive details

    Don't ask about health conditions, medical details or ID numbers, which Usertick's terms don't allow. Ask about the service people received.

CSAT surveysNonprofit surveysLink and QR code surveysPrograms and beneficiaries questions

More satisfaction templates and questions

Templates like this one, and single questions from the library to add to it.

Templates

Browse all templates
CSATVolunteer shiftFind out how volunteers experienced a shift, from the briefing to feeling appreciated. Send it the day after the shift.
CSATFundraising eventHear how guests rated your fundraiser, what brought them and who would like to get more involved. Send it the morning after the event.
CSATCommunity workshopLearn how useful and accessible your community workshop was and what to run next. Share it at the end of the session.
CSATThrift storeLearn how shoppers and donors rate your thrift store, from prices to dropping off donations. Share it with a QR code at the register.

Questions from the library

Browse the question library
  1. How do you feel about the program?Emoji · Programs and beneficiaries
  2. Rate the program on eachMatrix · Programs and beneficiaries
  3. Did the program help with what you needed?Yes / No · Programs and beneficiaries
  4. What could you give besides money?Multiple choice · Giving goods and skills
  5. How many times did you give goods this year?Ruler · Giving goods and skills
  6. What stops you from giving goods?Multiple choice · Giving goods and skills

Frequently asked questions

Print the survey's QR code on a sign or a card, so people scan it with their own phone. Each scan opens the survey page, and every answer lands in the same Results.

It can be. Turn on anonymous responses and no user ID, traits or visitor ID are stored with the answers; the country and a salted hash of the IP address are kept. Anonymous responses hold for link or QR code surveys, which is how this template is shared.

No. Usertick's terms don't allow surveys aimed at people under 16, so ask parents or caregivers about programs for children.

Results doesn't split answers by link tag. Duplicate the survey for each site, or add a first question that names the site and filter Results by it.

Select Disagree and Strongly disagree in that row to read those people's written answers, then talk them through with the staff who work those hours. Handle urgent answers the same day.

Yes. Every template comes with every plan, the free plan included, and the free plan covers 150 responses a month across your surveys.

Yes. The template becomes your own survey, so reword any question, add or remove questions, and change the options and the logic. The gallery stays as it is.

Yes, from Starter. The template is written in US English. Add languages by hand or with AI translation, and each person sees the survey in their browser's language.

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