Questionnaire Template

This template illustrates how the answer to a question can be used to present appropriate questions to a participant in your study.

In this example the participants sex determines which question will be asked

Background information

Sex

 

Question(s) for female participants

This questionnaire consists of statements describing how ..........
Show how much you agree or disagree with each statement by selecting a number on the scale.
Don't spend too long over any one statement; just give your first reaction Questions about ..................

A1. What is your view about .......................

  1. Totally agree
  3. Somewhat agree
  4. Neither agree or disagree
  5. Somewhat disagree
  7. Totally disagree

 

 

Question(s) for male participants

  This questionnaire consists of statements describing how ..........
Show how much you agree or disagree with each statement by selecting a number on the scale.
Don't spend too long over any one statement; just give your first reaction Questions about ..................

A2. What is your view about .......................

  1. Totally agree
  3. Somewhat agree
  4. Neither agree or disagree
  5. Somewhat disagree
  7. Totally disagree

 

 

Any comments?

completed questionnaire to remote computer.