---
generated_by: surveylegend-page-markdown
title: Cryptocurrency Payment Survey | SurveyLegend
description: Explore experience and concerns about paying for goods with
  cryptocurrency. Seven optional questions separate payment use from interest or
  investment.
canonical: https://www.surveylegend.com/survey-examples-templates/financial-services-surveys/cryptocurrency-template/
---

# Cryptocurrency Payment Survey Template

This cryptocurrency payment survey separates having heard of crypto payments from actually using them to buy goods or services. Seven optional questions explore experience, reasons to avoid the method and the information people would need to evaluate it.

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Cryptocurrency Payment Survey

Before this survey, how familiar were you with paying a seller using cryptocurrency?

Not at all familiar

Slightly familiar

Moderately familiar

+3 more answer choices

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Cryptocurrency Payment Survey [Preview](https://www.surveylegend.com/survey-examples-templates/financial-services-surveys/cryptocurrency-template/#try-template)

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This cryptocurrency payment survey separates having heard of crypto payments from actually using them to buy goods or services. Seven optional questions explore experience, reasons to avoid the method and the information people would need to evaluate it.

Owning cryptocurrency does not mean someone wants to pay with it. Keep the transaction use case clear from the start. Use SurveyLegend to research payment preferences without asking for wallet addresses, balances, account credentials or investment decisions.

## When to Use This Template

Use the questionnaire before researching a payment option further or when reviewing how an existing option is explained. Include people who have never used it. Keep the introduction neutral: adding claims about easy profits or guaranteed security would create [leading questions ](https://www.surveylegend.com/survey-questions/leading-questions/)before respondents reach the first field.

**Create your cryptocurrency payment survey in SurveyLegend**

Owning cryptocurrency does not mean someone wants to pay with it. Keep the transaction use case clear from the start.

## 7 Cryptocurrency Payment Survey Questions

Answer about using cryptocurrency to pay a seller for goods or services, not buying cryptocurrency as an investment or transferring it to another person. All questions are optional. Do not provide wallet addresses, transaction identifiers, balances, passwords or recovery phrases. This is a research example, not an offer or payment request.

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## A little feedback. A clearer picture.

Explore this 7-question example at your own pace. Every question is optional.

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SurveyLegend demo Question 1 of 7

### Cryptocurrency Payment Survey

01 Before this survey, how familiar were you with paying a seller using cryptocurrency?

Choose one answer, or skip this question.

Not at all familiar Slightly familiar Moderately familiar Very familiar Extremely familiar Prefer not to answer

02 In the past 12 months, how often have you paid for goods or services with cryptocurrency?

Choose one answer, or skip this question.

Never Once Two to five times Six or more times I do not remember Prefer not to answer

03 What is the main reason you would consider this payment method, if any?

Choose one answer, or skip this question.

A seller I use offers it I already use cryptocurrency for other purposes Interest in trying a different payment method An expected practical benefit Another reason I would not consider it I have not thought about it Prefer not to answer

04 What is your main concern about using it for a purchase?

Choose one answer, or skip this question.

Unclear total cost or fees Changes in value Mistakes when sending a payment What happens if a purchase goes wrong Privacy or security uncertainty Understanding the steps No concern I do not know enough to say Another concern Prefer not to answer

05 How clear are the payment steps to you?

Choose one answer, or skip this question.

Very clear Somewhat clear Neither clear nor unclear Somewhat unclear Very unclear I have not looked at any payment instructions Prefer not to answer

06 Which information would you most want before deciding whether to use it?

Choose one answer, or skip this question.

The full cost of the purchase The exact payment steps How payment completion is confirmed The seller's refund or dispute process How personal information is handled Which other payment methods are available I do not want to use this method Another detail Prefer not to answer

07 What would you like a seller to explain about this payment option?

Share your answer, or skip this question.

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## How to Adapt the Questionnaire

Specify whether you mean a general research topic or one actual payment option. For an actual offer, provide the same factual, reviewed explanation to every respondent and state the seller and payment context. Keep any asset, fee or refund description current and verified separately. This questionnaire does not establish legal suitability, technical security or whether a person should use cryptocurrency.

## When to Ask

Use it before a concept discussion or after respondents have seen the same factual description. Do not mix unexposed respondents with users in an unlabeled total. Retain the 12-month period for payment experience and record the field dates because the available options and explanations can change.

## How to Use the Responses

Report payment use separately from familiarity and willingness to consider. A concern about refunds is different from confusion about the steps; each suggests a different question for the payment team to investigate. Retain 'would not consider' and 'do not know' rather than recoding them as demand. Use the final [open-ended question ](https://www.surveylegend.com/customer-insight/open-ended-survey-questions/)to identify missing information. The answers cannot establish payment safety, estimate investment returns or predict adoption.

## What the Research Adds

Sangari and Mashatan’s study, published online in 2023 and in a 2024 journal issue, examines resistance to retail crypto payments. Its abstract identifies “ecosystem volatility and the lack of structural assurances” as influences on negative perceptions. Read the [crypto-payment resistance study ](https://onlinelibrary.wiley.com/doi/abs/10.1002/mar.21935). This supports asking about concerns as well as possible interest. The original SurveyLegend questions do not reproduce the study’s measures or establish how safe a particular payment option is.

## Frequently asked questions

### Is this an investment survey?

No. It asks about paying for goods or services. It does not ask which assets to buy, forecast returns or recommend a purchase.

### Should respondents share transaction details?

No. The survey can work with broad frequency and perception answers. Do not collect wallet addresses, recovery phrases or payment identifiers.

### Does interest mean customers will use the method?

No. Stated interest and past use are different. Further research and actual technical, operational and legal review would be needed before introducing a payment option.

## Printable Cryptocurrency Payment Survey

Print the exact seven optional questions for a payment research interview or workshop, with space for the final comment. State the collector and return point. Include no wallet QR codes, deposit addresses or requests to make a transaction. Paper responses need separate review or manual entry; they are not automatically added to online results.

![First page of the printable Cryptocurrency Payment Survey Template with questions and answer spaces](https://www.surveylegend.com/survey-template-media/pdf-previews/cryptocurrency-template-pdf-preview.avif)

[![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download the questionnaire](https://www.surveylegend.com/downloads/survey-templates/cryptocurrency-payment-survey-template.pdf)

Export Cryptocurrency Payment Survey as PDF

## AI Prompt: Cryptocurrency Payment Survey

Copy this cryptocurrency payment survey prompt into an AI assistant to prepare the questionnaire. Review the result, then build and customize it in SurveyLegend. It does not automatically create or transfer a survey.

## Cryptocurrency Payment Survey Prompt

AI Prompt: Cryptocurrency Payment Survey

[Create this survey in SurveyLegend](https://www.surveylegend.com/register/)

Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend.

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## Understand the Payment Questions First

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