Blockchain Pilot Survey Template
A blockchain pilot needs more than interest in the technology. Use seven questions to clarify the shared-record problem, partner participation and the evidence needed before a trial.
A blockchain pilot needs more than interest in the technology. Use seven questions to clarify the shared-record problem, partner participation and the evidence needed before a trial.
This blockchain pilot survey helps participating teams describe what must be agreed before a trial begins. It starts with the business task, not a promise that blockchain will solve it. Build the original questionnaire in SurveyLegend and use the responses to prepare a focused scoping discussion.
When to Use This Template
Use it when several organizations are considering a shared record for a specific process, such as tracking a handoff. Describe the proposed workflow in plain language before the questions. Include people who would enter, check and use records, not only project sponsors. A conventional shared database or a simpler process change should remain an option.
7 Blockchain Pilot Survey Questions
Answer about the proposed shared-record pilot described above. Every question is optional. Share process-level views only; do not enter partner names, confidential contracts, credentials, wallet details or actual transaction records.
A little feedback. A clearer picture.
Explore this 7-question example at your own pace. Every question is optional.
Blockchain Pilot Survey
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How to Adapt the Questionnaire
Name one workflow and state what a trial would and would not include. Define “partner,” “record” and “pilot” for this audience. Keep a simpler alternative in the description and check for leading questions that imply adoption is already the right choice. Do not ask respondents to approve security or contractual terms through a preference survey.
When to Ask
Collect responses before the scoping meeting and before a purchase or integration commitment. Allow each participating role to answer independently. Revisit the unanswered assumptions after the team gathers actual process, cost and technical evidence; repeating opinions alone will not establish feasibility.
How to Use the Responses
Review disagreement before calculating an overall summary. A sponsor may see confirmed interest while an operator reports no agreed responsibilities; that difference needs a conversation. Count “not sure” as an information gap rather than negative readiness. Use the final open-ended question to build an assumption log with an owner and evidence source. Do not combine the answers into an adoption score. The next action may be a smaller experiment, a simpler system or a decision not to proceed.
What the Research Adds
Sternberg, Hofmann and Roeck’s supply-chain case study highlights “tensions between drivers for and against” blockchain adoption. Their abstract explains that one actor’s adoption decision affects others in the chain. This informs the separate questions about partner participation and shared rules. A single case does not establish a universal adoption formula or prove blockchain is suitable for this project. Read the blockchain adoption study (published online in 2020; journal issue 2021).
Frequently asked questions
Does this template recommend blockchain?
No. It helps surface assumptions about one proposed pilot, including whether a simpler alternative has been considered.
Is there a blockchain readiness score?
No. Report specific disagreements and missing decisions. Adding a score would imply a measurement model this original questionnaire does not have.
Should partners share real records in their answers?
No. Collect process-level feedback here. Review actual records and technical materials separately through approved systems.
Printable Blockchain Pilot Survey
Place the same plain-language pilot summary above the seven questions. Provide circles for Questions 1–6 and a lined assumption box for Question 7. Do not add approval signatures, transaction fields or a scoring total. Paper responses need separate review or manual entry; they are not automatically added to online results.
Download the questionnaire AI Prompt: Blockchain Pilot Survey
Copy this blockchain pilot 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.
Blockchain Pilot Survey Prompt
Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend.
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