SurveyTracker Sample Surveys

This page provides samples of surveys that can be created with SurveyTracker E-Mail/Web, SurveyTracker Plus, and SurveyTracker Plus E-Mail/Web survey software.

Each survey was either designed from scratch as new survey or was created directly from the SurveyTracker Survey Library which contains over 100 free surveys that SurveyTracker users can use as-is or modify to suit a specific need. Each survey uses either a pre-defined color and layout style template from SurveyTracker’s Style Library or a user-customized variation of an existing style.

CategoryTitleTypeFeatures

Accessibility (ADA/508 and mobile friendly)

ABC Company Leadership AssessmentWebAccessibility survey, Page Numbering

ABC County Snow Removal Accessibiliy Survey
WebAccessibility Survey, Page Number, End Survey Early (on Q1)
J. Stripes and Associates 360 Degree FeedbackWebAccessibility survey, Must Complete questions, Custom Footer
State of Ohio Customer Satisfaction Survey - Variation 1WebAccessibility survey, Must Complete questions, Page Numbering, Large Fonts

State of Ohio Customer Satisfaction Survey - Variation 2
WebAccessibility Survey, Custom Colors, Must Complete questions, Page Numbering

Education


ABC University Course EvaluationScannableStandard Form 257521

Cappa College Course Evaluation
WebTwo-Column Layout, Custom Thank You on Submit
Cappa College Student Ethics
WebHorizontal Layout, Custom Thank You on Submit, Print Responses on Submit

Cappa College Student Ethics - Scannable
ScannableCustom Form, Horizontal Layout

Northridge School Stakeholder Survey
ScannableCustom Form, Horizontal Layout, Marking Instructions

School Faculty Satisfaction Survey
ScannableStandard Form 257532, Two Scale Questions

Green Valley High School Faculty Survey
WebHorizontal Layout, Color Banding

Sky High University Course Evaluation
WebHorizontal Layout, Color Banding, Print Responses on Submit

Star College Instuctor/Course Evaluation
WebHorizontal Layout, Color Banding, Restart Survey on Submit

South State University Course Evaluation
ScannableCustom Form, Horizontal Layout

Student Drug Awareness Survey
WebVertical/Horizontal Layout, Color Banding, Images, Header, Custom Thank You, Print Responses on Submit, Real-Time Report

Health Care / Patient Satisfaction


Centerville Patient Satisfaction Scannable Form
ScannableCustom Form, Horizontal Layout, Data Fields

Centerville Patient Satisfaction Web Survey
WebHorizontal Layout, Color Banding, Page Numbering, Restart on Submit

Childrens Hospital Pediatric Inpatient Satisfaction Scannable Form
ScannableCustom Form, Horizontal Layout, Banding, Images

Childrens Hospital Pediatric Inpatient Satisfaction Web Survey
WebHorizontal Layout, Color Banding

Crescent Care Health Insurance Satisfaction Survey
WebHorizontal Layout, Color Banding, Date Validation, Numeric Range Validation

Cross Hospital Outpatient Satisfaction Survey
WebHorizontal Layout, Color Banding, Custom Thank You, Print Responses on Submit

Health and Wellness Survey
WebHorizontal Layout, Color Banding, Page Numbering

Health Care Medical Institution
WebVertical Layout, Page Numbering, Percent Complete, Images

Hope Hospital and Outpatient
WebHorizontal Layout, Color Banding

Hope Hospital Prescription Adherence
ScannableCustom Form, Basic black & white

Hospital Outpatient Satisfaction Form
ScannableStandard Form #257530

Mutual Trust Health Insurance Questionnaire
WebVertical/Horizontal Layout, Images, Custom Thank You Page

Patient Care Hospital Emergency Room Survey
WebHorizontal Layout, Banding, Custom Welcome, Print Responses on Submit, Real-Time Report on Submit

Serenity Group Health and Wellness Evaluation
WebVertical Layout, Simple Black & White Layout, Must Complete Question Validation

Employee & 360 Assessments

ABC Company Leadership AssessmentWebHorizontal Layout, Color Banding

Atlantic Northern Employee Satisfaction
ScannableCustom Form, Horizontal Layout, Banding, Response Grids, Marking Instructions

Challenges for the New Year Real-Time Report Example
WebSingle Question Survey, Vertical Layout, Real-Time Report on Submit

Cornerstone Manufacturing Employee Survey
WebTwo-Column Vertical Layout, Header, Progress Bar, Print Response on Submit

El Rey Performance Appraisal
WebMixed Layout, Color Banding, Must Complete Validation, Date Validation, Restart Survey on Submit

J. Stripes and Assocations 360 Degree Scannable Form
ScannableCustom Form, Horizontal Layout, Banding, Pre-Filled Respondent ID
J. Stripes and Associates 360 Degree Web FeedbackWebImages, Color Banding, Must Complete questions
Leaf Industries Leadership Assessment
WebHorizontal Layout, Color Banding, Custom Welcome Message, Header/Footer, Print Responses on Submit

Lite Ray 360 Leadership Assessment
ScannableCustom Form, Two Scale Layout, Date Grid

Palms Inn Employee Ethics Survey
WebCustom Vertical True/False Layout, Custom Thank You on Submit

Pyramid Corporation 360 Degree Leadership Assessment
WebLong (12 page) Survey, Horizontal Layout, Color Banding

Customer Satisfaction


Cameras Online E-Commerce Survey
WebHorizontal Layout, Color Banding

Bonanza Tech Customer Service Satisfaction Survey
WebHorizontal Layout, Color Banding, Custom Thank-You, Real-Time Report on Submit

Caribbean Dream Cruise Line Satisfaction Survey
WebTwo-Column Layout, Must Complete Question Validation, Custom Thank You, Print Responses on Submit

Flowers by Meg Customer Satisfaction
WebHorizontal Layout, Color Banding

Global Corp Customer Satisfaction Scannable Form
ScannableCustom Form, Horizontal Layout, Color Banding

Global Corp Customer Satisfaction Web Survey
WebHorizontal Layout, Print Responses on Submit

Haines Dealership Automobile Service Survey
WebHorizontal Layout, Color Banding, Page Numbering

LMD Technologies Help Desk Survey
ScannableCustom Form, Horizontal Layout, Color Banding

Magnetic Mortgage Company Satisfaction Survey
ScannableCustom Form, Horizontal Layout

Palms Inn Customer Satisfaction
WebColor Banding, Numeric Range Validation, Restart Survey on Submit

Pizza Mike's Customer Satisfaction
WebHorizontal Layout, Color Banding, Multiple Images, Custom Thank You, Print Responses on Submit

Seaside Restort Customer Satisfaction Survey
ScannableCustom Layout, Color Banding, Two-Sided Form

Government/Military


ABC County Public Libraries Survey
WebLong Survey, Multi-Format Layout, Color Banding, Skip & Hit, Multiple Response Choice Limit, Page Numbering

ABC County Snow Removal Survey
WebSimple Layout, Page Numbering, End Survey Early (on Q1)

Civilian Contractor Training and Development Evaluation
WebTwo-Column Layout, Color Banding

County Customer Satisfaction Survey
ScannableCustom Form, Mixed Format & Columns, Color Banding, Marking Instructions

Department of State Motivation Awareness Scannable Form
ScannableCustom Form, Horizontal Layout, Color Banding

Department of State Motivation Awareness Web Survey
WebHorizontal Layout, Color Banding

Pain Management Survey
WebCustom Layout, Header, Page Numbering, Print Responses on Submit

State of Ohio Customer Satisfaction Survey
WebHorizontal Layout, Must Complete Question Validation, Page Numbering

Conference/Tradeshow Evaluations


Mosaic Conference Opinnionaire
WebHorizontal Numeric Layout, Color Banding

Technical Innovation Group Web Session Evaluation
WebHorizontal Layout, Color Banding, Must Complete Question Validation, Real-Time Report on Submit

Technical Innovation Group Session Evaluation Scannable Form
ScannableHorizontal Layout, Color Banding, Response Grid

Training Evaluations


Cooper Designs Strategies Assessment
WebHorizontal Layout, Color Banding, Restart Survey on Submit

Parole and Probation Physical Task Survey
WebAdvanced Layout, Long Survey, Must Complete Validation, Color Banding

PC Media Training Assessment
WebLong Survey Format, Basic Layout, Must Complete Question Validation, Skip & Hit Patterns, Real-Time Report on Submit

Starlight Training Needs Assessment
WebLong Survey Format, Limited Questions Per Page, Progress Bar, Print Responses on Submit

StatTracker Course Evaluation
ScannableCustom Form, Horizontal Layout, Color Banding

XYZ Training Assessment
ScannableCustom Form, Combined Format Layout, Color Banding, Images

Safety/Risk Assessment


Covewheel and Casteel Safety Evaluation
WebHorizontal Layout, Color Banding, Mid-Size Survey, Page Numbering, Print Respones on Submit

Delacourt Manufacutring Risk Management Survey
WebHorizontal Layout, Color Banding, Real-Time Report on Submit

Enis Industries Safety Assessment
ScannableHorizontal Layout, Color Banding

HardHat Analysts Safety Observation Form
WebCombine Layout, Color Banding, Must Complete Question Validation, Skip & Hit on Multiple Response Question

Javamark Indusries Safety Observation Form
ScannableCustom Form, Mixed Layout, Grayscale, Date Grid, Custom Grid, Two Column Layout

Church Surveys


Holy Family Church Activities and Groups Survey
ScannableCustom Form, Vertical and Horizontal Layout, Color Banding

Holy Family Church Demographic and Spirituality Survey
ScannableCustom Form, Vertical and Horizontal Layout

Starlite Horizons Church Pastor Survey
WebCombined Vertical and Horizontal Layout, Print Responses on Submit

Starlite Horizons Church Youth Survey
WebHorizontal Layout, Color Banding

Fun/Seasonal Surveys


Happy Halloween Candy Survey
WebTwo Column Vertical Layout, Real-Time Report on Submit

Thanksgiving Poll
WebVertical Layout, Color Banding, Multiple Response Limit 3 Choices, Restart Survey on Submit

Individuals with Disabilities HR


Cappa College Annual HR Analysis of IWD Hiring Practices
ScannableCustom Form, Numeric Response Grids, Write-In Field

Cappa College HR Standards Analysis
ScannableCustom Form, Horizontal Layout, Color Banding, Date Grid

Cappa College Voluntary Self-Identification of Disability
WebBasic Black & White Vertical Layout

Miscellaneous


AED Research Focus Group Recruitment
ScannableCustom Form, Vertical Layout, Color Banding

Goal Community Outreach Donor Activities Assessment
WebVertical Layout, Color Banding, Multiple Response Skip & Hit, Percent Complete, Custom Thank You

RWD Industries Website Evaluation
WebVertical Layout, Color Banding

Wheatfield Pantry Volunteer Satisfaction Survey
WebMixed Layout, Color Banding