Questionnaire template

About this questionnaire

A questionnaire is a set of written questions used to gather facts and opinions in depth: for a school project, a research study, a needs assessment, a pre-interview screen or a customer discovery call. Compared with a quick survey, it gives more room for written answers.

The template includes a short consent statement for research use, background questions, a mix of yes/no, multiple-choice and open questions, and a closing question that invites anything the respondent thinks you missed.

What’s on the questionnaire

The template has 4 sections and 12 questions. Every one can be renamed, moved or deleted.

• Consent: Agreement: “I have read the information above and agree to take part.”
• About you: Name or participant number; Date; Age group (choose one: Under 18, 18–29, 30–44, 45–59, 60+); Occupation or role
• Questions: 1. Have you used a similar product, service or program before? (yes or no); 2. How often does this topic affect you? (choose one: Never, Rarely, Sometimes, Often, Always); 3. Which of the following apply to you? (tick all that apply: Option A, Option B, Option C, Option D, None of these); 4. Describe your experience in your own words.; 5. What is the biggest challenge you face with this?; 6. What would make the biggest difference for you?
• Finally: Is there anything else you would like to add?

Tips

• Pilot the questionnaire with two or three people first; confusing questions show up immediately.
• Put easy factual questions first and sensitive questions later, once people are comfortable.
• Avoid leading questions such as “How much did you enjoy…?”; ask “How would you describe…?” instead.

Four ways to save it

A fillable PDF has typing boxes, tick boxes and choices built in. A printable PDF gives clean boxes and writing lines for pen and paper. The Word file can be edited further, and the HTML code adds the same questions to a website. Browse more form templates, or design a completely different layout in the custom form builder.