Sample Questionnaire Design


The design of your questionnaire is very important because it determines the kind of responses you will get.  If the design of your questionnaireis not good then you will not get adequate responses. On the other hand, if your design is good then you will get the responses that you need.  This sample questionnaire can be used as an example of a good design.  In a survey using a questionnaire as the main tool for getting responses then the design is very important.  You want it to be as effective and valuable as possible so that your survey can be a success.

Please indicate the details of the organization carrying out the survey:

Name of organization: ________________________________

Address: ___________________________________________

Tel: _______________________________________________

Mobile: ____________________________________________

Email: _____________________________________________

Date: ______________________________________________

Mission and vision of the Organization: ________________________________________________________________________________________________________________________________________________

Duties and responsibilities of the organization:

________________________________________________________________________________________________________________________________________________

Purpose of the survey:

________________________________________________________________________________________________________________________________________________

Goals set for the survey:

________________________________________________________________________________________________________________________________________________

Number of the population to be surveyed:

________________________________________________________________________________________________________________________________________________

Criteria used to determine the chosen population:

________________________________________________________________________________________________________________________________________________

Number of the chosen sample population to be surveyed:

________________________________________________________________________________________________________________________________________________

The criteria used to determine the sample population that is being surveyed:

________________________________________________________________________________________________________________________________________________

Describe how the chosen sample population will adequately represent the whole population:

________________________________________________________________________________________________________________________________________________

Describe the type of questions to be used to achieve the purpose set for the survey:

________________________________________________________________________________________________________________________________________________

Describe the type of questions to be used to achieve the goals set for the survey:

________________________________________________________________________________________________________________________________________________

Describe the assumptions made about the sample population being used in the survey:

________________________________________________________________________________________________________________________________________________

Category: Questionnaire design

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