A national interview questionnaire is a document which is distributed throughout the nation for getting responses of people about a particular national topic. These questionnaires may form parts of surveys conducted for the entire country and are helpful in collecting responses of different people. Any such questionnaire consists of multiple questions on the same topic and can be either subjective or objective type questions. The topic can be anything ranging from health, wealth, popular choice etc…

Sample National Interview Questionnaire:

Name of the candidate: _______________

Age of the candidate: _______________

Gender of the candidate: ______________

Email address of the candidate: _______________

Contact number of the candidate: ______________

Residential address of the candidate: _________________ state: _____________

Country: ______________ zip code: _____________________

Please answer the following questions which are related to nation’s health and Medicare needs and requirements.

Q1. Are you satisfied with the medical facilities that are available in your city/district/town?

a)   Yes

b)   No

Q2. Are there enough number of doctors and medical experts to look after the medical needs of the place you live in?

a)   Yes

b)   No

Q3. Are medicines available easily or is there a dearth of medicines and other medical equipments in your city/district/town?


Q4. Are the medical facilities like clinics, hospitals, centres etc in neat and clean condition and good shape?

a)   Yes

b)   No

Q5. Would you like to see changes in the health centres and clinics or are you satisfied with the overall picture?


Q6. Is there anything you would like to ask or tell us?