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:
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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:
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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:
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Category: Questionnaire design
