Sample survey questions

Phase 2 of your PAT requires you to create and execute a survey; you will create a questionnaire using Microsoft Word. Remember at all times that the questions on this questionnaire are totally separate to your Phase 1 Research Questions.

Create a questionnaire as a one-page Word document. Your goal is to collect data that you will be able to analyse as required – most importantly: you need numeric data!

Tip: if your name and surname & the name of your school appear in the footer it will be easier to keep track of the paperwork!

Create a sub-heading: “Biographical questions”. This set of questions gathers information about the respondent. Include a minimum of 4 questions:

  • Age (in years)
  • Gender
  • Race
  • Employment status
  • Area of residence

Create a second sub-heading: “Topic questions” (in an automatically numbered list):

  • You need a minimum of 5 questions:
    • 4 closed questions,
      • of which only one is a Yes/No option, and
      • two of which must have at least 3, but preferably more options
    • 1 open question
  • You MUST include instructions (or an example):
    • “Tick as many boxes as is appropriate”
    • “Circle only one option”
    • “Rate 1 to 10, 1 being least interested and 10 being extremely interested”

Use symbols etc. for check-boxes.

Your check-boxes should be to the left of their labels like so:

▢ Yes
▢ No

This makes it far easier to align the option. If you have many options, try laying them out using columns:

▢ Vanilla ▢ Chocolate
▢ Strawberry ▢ Capuccino
▢ Tin Roof ▢ Rocky Road
▢ Chocolate Mint Chip  

Use Tab stops with Leader lines to provide a place for the respondent to write in response to open questions.

Closed Questions

A closed question is a question which:

  • Is almost always asked and answered by selecting a prescribed answer from some type of finite list (has a limited number of possible responses):
    • Check boxes
    • Radio buttons
    • Drop-down lists
    • Range selection
  • Can be answered directly with a fact

These are easier for respondents to answer and easier for you to capture and analyse – this results in more accurate data.

Open Question

An open question usually requires an opinion from a respondent. Your questionnaire must provide lines to indicate where the respondent should write their answer. You may add and instruction such as: “Describe in a short sentence…”.


You will find the Excel and Access sections of the PAT easier to complete if you pay close attention to the type of data you are collecting using your questionnaire.

This can be achieved by ensuring that most of your questions result in numerical data that can be analysed (closed questions make this easier).

Open questions are difficult (but NOT impossible) to analyse.


Each question must have a clear instruction:

  • Tick one option only
  • Select one or more options by entering an “X” in the box
  • Your age in numbers
  • Rate you knowledge on a scale of 1 to 10, with 1 being “poor” and 10 being “excellent”.

If you opt to use a digital form, like Google Forms, you must be careful to still fulfil all the requirements of the PAT.

Once you have 25 respondents complete your questionnaire your next step is to capture the data in Excel.

By MisterFoxOnline

CAT Educator

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