Questionnaire Template
Instruments · DOCX template
Section A — Introduction
Purpose, confidentiality assurance, estimated time, instructions.
Section B — Demographic Profile
Age group
Gender
Education
Experience / Designation
Location
Section C — Main Constructs (Likert 1–5)
Strongly Disagree (1) — Disagree (2) — Neutral (3) — Agree (4) — Strongly Agree (5)
Construct 1 — Item 1:
Construct 1 — Item 2:
Construct 2 — Item 1:
Construct 2 — Item 2:
Section D — Open-ended
Any additional comments: ______________________
Note on Validity
Adapt items from validated scales and cite sources; pilot-test before full deployment.
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