The aim of this survey is to gain insight into how users of a specific data repository feel about the repository and the data they reused. We aim for this survey instrument to be department, repository, and datatype agnostic which can then be tailored to individual repository use cases. We are interested in what challenges reusers faced with the data and repository as well as anything that worked out well for them. Hopefully, this instrument will help curators and repository administrators obtain helpful feedback that will then impact how they go about their work.