Food Allergy Dining Experience Survey

Food Allergy Dining Experience Survey — Form Fields

This surveys template includes 9 fields. Assess how well restaurants accommodate guests with food allergies and dietary restrictions. Free to customize and use on ZenBuild.

• Dietary restrictions or allergies (checkboxes, required) — options: Peanuts, Tree Nuts, Shellfish, Gluten, Dairy, Eggs, Soy, Other
• How often do you dine out? (dropdown selection, required) — options: Several times a week, Weekly, Monthly, Rarely
• Restaurant Staff Knowledge of Allergens (rating, required)
• Menu Clarity About Allergen Information (rating, required)
• Confidence in Cross-Contamination Prevention (rating, required)
• Have you experienced an allergic reaction at a restaurant? (multiple choice, required) — options: Yes, No
• Do restaurants typically accommodate your dietary needs well? (multiple choice, required) — options: Always, Usually, Sometimes, Rarely, Never
• Share a positive or negative dining experience related to your allergy (long text, optional)
• Overall Dining Safety Satisfaction (rating, required)